MEDICARE: STARLIGHT 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
2	333600000X	Pharmacy

General Provider Information

NPI Number	:	1700667037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARLIGHT RX INC

Provider Business Mailing Address
First Line	:	5705 6TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5705 6TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3807
Country	:	US
Telephone Number	:	347-799-1118
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHNNY WONG
Credential	:
Telephone Number	:	347-799-1118

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	04/10/2025

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Directions to “STARLIGHT RX INC ” Practice Location

Language	Start Address	Practice Location

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