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NPI Code Detail

MEDICARE: RNJ PHARMACY INC.

MEDICARE: RNJ PHARMACY 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
13336C0003XCommunity/Retail Pharmacy028358NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1028358OTHERNYPHARMACY REGISTRATION

General Provider Information

NPI Number : 1841403649
Entity Type Code : Organization
Provider Name (Legal Business Name) : RNJ PHARMACY INC.
Provider Business Mailing Address
First Line : 82 GUY LOMBARDO AVE
Second Line :
City : FREEPORT
State : NY
Zip : 11520-3715
Country : US
Telephone Number : 516-377-8500
Fax Number : 516-377-8501
Provider Business Practice Location Address
First Line : 82 GUY LOMBARDO AVE
Second Line :
City : FREEPORT
State : NY
Zip : 11520-3715
Country : US
Telephone Number : 516-377-8500
Fax Number : 516-377-8501
Authorized Official
Title or Position : PRESIDENT
Name : ABDILAKIM BERDIKULOV
Credential :
Telephone Number : 516-377-8500
Provider Enumeration Date : 05/08/2007
Last Update Date : 02/16/2026

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