Provider Demographics
NPI:1477625002
Name:LMRX INC
Entity Type:Organization
Organization Name:LMRX INC
Other - Org Name:MEDICAP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:3RD PARTY PLAN COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-993-6000
Mailing Address - Street 1:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:12758-0026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43 A MAIN ST
Practice Address - Street 2:
Practice Address - City:LIVINGTON MANOR
Practice Address - State:NY
Practice Address - Zip Code:12758
Practice Address - Country:US
Practice Address - Phone:845-439-3323
Practice Address - Fax:845-439-3433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026071333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02420717Medicaid
3332145OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3332145OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NY4855780001Medicare NSC