Provider Demographics
NPI:1730287624
Name:RX CONSULTANT PHARMACY INC
Entity Type:Organization
Organization Name:RX CONSULTANT PHARMACY INC
Other - Org Name:PHARMACY PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABE
Authorized Official - Middle Name:
Authorized Official - Last Name:BISTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-354-9320
Mailing Address - Street 1:728 N MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1960
Mailing Address - Country:US
Mailing Address - Phone:845-354-9320
Mailing Address - Fax:845-354-9322
Practice Address - Street 1:728 N MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1960
Practice Address - Country:US
Practice Address - Phone:845-354-9320
Practice Address - Fax:845-354-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027338183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3347653OtherNCPDP/NABP
NY060217000039OtherFIDELIS PROVIDER NUMBER
NY02695009Medicaid
NY060217000039OtherFIDELIS PROVIDER NUMBER