Provider Demographics
NPI:1356040711
Name:CYPRESS RX INC
Entity type:Organization
Organization Name:CYPRESS RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:ZULY
Authorized Official - Last Name:PINKHASOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-599-1805
Mailing Address - Street 1:1105 CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6087
Mailing Address - Country:US
Mailing Address - Phone:347-599-1805
Mailing Address - Fax:347-599-1806
Practice Address - Street 1:1105 CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-6087
Practice Address - Country:US
Practice Address - Phone:347-599-1805
Practice Address - Fax:347-599-1806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY040118OtherBOARD OF PHARMACY