Provider Demographics
NPI:1164621843
Name:TO YOUR HEALTH RX CORP.
Entity Type:Organization
Organization Name:TO YOUR HEALTH RX CORP.
Other - Org Name:HOYT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/SP
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RACKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:718-277-9160
Mailing Address - Street 1:3024 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-1107
Mailing Address - Country:US
Mailing Address - Phone:718-277-9160
Mailing Address - Fax:718-277-9164
Practice Address - Street 1:3024 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-1107
Practice Address - Country:US
Practice Address - Phone:718-277-9160
Practice Address - Fax:718-277-9164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028400332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02861392Medicaid
NY02861392Medicaid