Provider Demographics
NPI:1881608032
Name:RX EXPRESS PRESCRIPTION SERVICES INC.
Entity type:Organization
Organization Name:RX EXPRESS PRESCRIPTION SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN BEECHKO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:631-462-2233
Mailing Address - Street 1:1842 E JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-5796
Mailing Address - Country:US
Mailing Address - Phone:631-462-2233
Mailing Address - Fax:631-462-2325
Practice Address - Street 1:1842 E JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-5796
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:2006-07-27
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0207823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01206899Medicaid
NY0591570001Medicare NSC