Provider Demographics
NPI:1477824613
Name:RX & BEYOND INC.
Entity Type:Organization
Organization Name:RX & BEYOND INC.
Other - Org Name:RX & BEYOND INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-353-0060
Mailing Address - Street 1:4269 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4721
Mailing Address - Country:US
Mailing Address - Phone:718-353-0060
Mailing Address - Fax:718-353-0059
Practice Address - Street 1:4269 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4721
Practice Address - Country:US
Practice Address - Phone:718-353-0060
Practice Address - Fax:718-353-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
NY0309903336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2133366OtherPK
NY03418233Medicaid
NY03418233Medicaid
NY03418233Medicaid