Provider Demographics
NPI:1780473991
Name:RUDRA RX INC.
Entity type:Organization
Organization Name:RUDRA RX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CYPRAINE TATI
Authorized Official - Middle Name:
Authorized Official - Last Name:AWUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:347-590-2863
Mailing Address - Street 1:2395 GRAND CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-6823
Mailing Address - Country:US
Mailing Address - Phone:347-590-2863
Mailing Address - Fax:347-590-2864
Practice Address - Street 1:2395 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-6823
Practice Address - Country:US
Practice Address - Phone:347-590-2863
Practice Address - Fax:347-590-2864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy