MEDICARE: CLEVER MEDS RX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1457213936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVER MEDS RX INC

Provider Business Mailing Address
First Line	:	20503 JAMAICA AVE
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-3039
Country	:	US
Telephone Number	:	718-470-2555
Fax Number	:	718-470-2031

Provider Business Practice Location Address
First Line	:	20503 JAMAICA AVE
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-3039
Country	:	US
Telephone Number	:	718-470-2555
Fax Number	:	718-470-2031

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANIEL COHEN
Credential	:
Telephone Number	:	718-470-2555

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “CLEVER MEDS RX INC ” Practice Location

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