MEDICARE: GP RX PHARMACY CORP.

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	:	1457216202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GP RX PHARMACY CORP.

Provider Business Mailing Address
First Line	:	4026 GREENPOINT AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11104-3618
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4026 GREENPOINT AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11104-3618
Country	:	US
Telephone Number	:	718-937-1750
Fax Number	:	718-937-1884

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IOSIF ZAVULUNOV
Credential	:
Telephone Number	:	917-653-2201

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “GP RX PHARMACY CORP. ” Practice Location

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