Provider Demographics
NPI:1427199553
Name:WELCOME RX INC.
Entity Type:Organization
Organization Name:WELCOME RX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANASHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARBAILOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-431-8232
Mailing Address - Street 1:128 DITMAS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-4902
Mailing Address - Country:US
Mailing Address - Phone:718-431-8232
Mailing Address - Fax:718-431-8253
Practice Address - Street 1:128 DITMAS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4902
Practice Address - Country:US
Practice Address - Phone:718-431-8232
Practice Address - Fax:718-431-8253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2021-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02556536Medicaid
NY026610OtherREGISTRATION NUMBER
NY3338200OtherNCPDP
NY026610OtherREGISTRATION NUMBER
NY3338200OtherNCPDP