Provider Demographics
NPI:1346283520
Name:AFFORDABLE RX, INC.
Entity Type:Organization
Organization Name:AFFORDABLE RX, INC.
Other - Org Name:AFFORDABLE SCRIPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, TREASURER, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:CAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-494-3121
Mailing Address - Street 1:177 ROCKAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5823
Mailing Address - Country:US
Mailing Address - Phone:516-561-6480
Mailing Address - Fax:516-561-6483
Practice Address - Street 1:177 ROCKAWAY AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5823
Practice Address - Country:US
Practice Address - Phone:516-561-6480
Practice Address - Fax:516-561-6483
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMETECH ADVANCED THERAPIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-14
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 3336M0002X, 3336M0003X
NY0346843336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2062745OtherPK
5324060001Medicare NSC