Provider Demographics
NPI:1952751257
Name:FRANKLIN RX INC
Entity Type:Organization
Organization Name:FRANKLIN RX INC
Other - Org Name:FRANKLIN RX INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORDECHAEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-266-3331
Mailing Address - Street 1:98B N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3029
Mailing Address - Country:US
Mailing Address - Phone:516-292-0222
Mailing Address - Fax:516-505-3784
Practice Address - Street 1:98B N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3029
Practice Address - Country:US
Practice Address - Phone:516-292-0222
Practice Address - Fax:516-505-3784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-16
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0003X, 3336C0004X
NY034714333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2160727OtherPK
NY7557660001Medicare NSC