Provider Demographics
NPI:1205145562
Name:RXMASTERS INC
Entity type:Organization
Organization Name:RXMASTERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:RUSLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHEYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-293-0800
Mailing Address - Street 1:1437 WEBSTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-1831
Mailing Address - Country:US
Mailing Address - Phone:718-293-0800
Mailing Address - Fax:718-293-0810
Practice Address - Street 1:1437 WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-1831
Practice Address - Country:US
Practice Address - Phone:718-293-0800
Practice Address - Fax:718-293-0810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 332B00000X, 3336S0011X
NY0303823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2127991OtherPK
NY3299887Medicaid