MEDICARE: REY PHARMACY LLC

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	:	1871126649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REY PHARMACY LLC

Provider Business Mailing Address
First Line	:	6902 AUSTIN ST #2
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4250
Country	:	US
Telephone Number	:	718-480-6018
Fax Number	:	855-273-4017

Provider Business Practice Location Address
First Line	:	6902 AUSTIN ST #2
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4250
Country	:	US
Telephone Number	:	718-480-6018
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZHANNA SHIMONOVA
Credential	:
Telephone Number	:	718-480-6018

Provider Enumeration Date	:	02/19/2020
Last Update Date	:	07/29/2021

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Directions to “REY PHARMACY LLC ” Practice Location

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