Provider Demographics
NPI:1225515117
Name:ADONAI RX INC
Entity Type:Organization
Organization Name:ADONAI RX INC
Other - Org Name:ADONAI PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIDALGO-WVINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-791-5934
Mailing Address - Street 1:3 W 137TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1900
Mailing Address - Country:US
Mailing Address - Phone:646-791-5934
Mailing Address - Fax:646-791-0854
Practice Address - Street 1:3 W 137TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1900
Practice Address - Country:US
Practice Address - Phone:646-791-5934
Practice Address - Fax:646-791-0854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy