Provider Demographics
NPI:1851387716
Name:RX EXPRESS PRESCRIPTION SERVICE INC
Entity Type:Organization
Organization Name:RX EXPRESS PRESCRIPTION SERVICE INC
Other - Org Name:RX EXPRESS PHARMACE & SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:Z
Authorized Official - Last Name:FEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:631-462-2233
Mailing Address - Street 1:1963 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-6216
Mailing Address - Country:US
Mailing Address - Phone:631-462-2233
Mailing Address - Fax:631-462-2325
Practice Address - Street 1:1963 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-6216
Practice Address - Country:US
Practice Address - Phone:631-462-2233
Practice Address - Fax:631-462-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31222183500000X
NY36088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01206899Medicaid
NY3397343OtherNABP#
NY020782OtherPHARMACY LIC#
NY020782OtherPHARMACY LIC#
NY01206899Medicaid