OrganizationActiveAccepts Medicare
77 Pharmacy Inc
NPI 1194499343 · Community/Retail Pharmacy · Jackson Heights, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1194499343
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ronald Rivas, Owner(718) 684-1595
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8215 Roosevelt Ave
Jackson Heights, NY 11372-7034
Phone: (718) 898-7777
Fax: (718) 898-7775
Street-level locationGet directions
Mailing address
8215 Roosevelt Ave
Jackson Heights, NY 11372-7034
Other names (DBA / former)
- Doing business as
- 77 Pharmacy
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.