OrganizationActive
63rd Drive Rx, Inc.
NPI 1285451161 · Long Term Care Pharmacy · Jackson Heights, NY
63rd Drive Rx, Inc. is a Long Term Care Pharmacy organization in Jackson Heights, NY (NPI 1285451161).
Provider details
- NPI number
- 1285451161
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dmitriy Evtyushkin, Owner(915) 213-8519
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
9418 Roosevelt Ave # 11c11d
Jackson Heights, NY 11372-7916
Phone: (718) 440-4917
Fax: (888) 654-4334
Street-level locationGet directions
Mailing address
9418 Roosevelt Ave # 11c11d
Jackson Heights, NY 11372-7916
Other names (DBA / former)
- Doing business as
- Interpharm Rx
Registry dates
- Enumerated
- 2024-09-23
- Last updated
- 2024-09-23
- Certified
- 2024-09-23
Frequently asked questions
- What is 63rd Drive Rx, Inc.'s NPI number?
- 63rd Drive Rx, Inc.'s National Provider Identifier (NPI) is 1285451161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 63rd Drive Rx, Inc.?
- 63rd Drive Rx, Inc. is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is 63rd Drive Rx, Inc. located?
- 63rd Drive Rx, Inc.'s practice location on file with NPPES is 9418 Roosevelt Ave # 11c11d, Jackson Heights, NY 11372-7916.
- What is 63rd Drive Rx, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for 63rd Drive Rx, Inc. is (718) 440-4917.
- Who is the authorized official for 63rd Drive Rx, Inc.?
- The authorized official listed on 63rd Drive Rx, Inc.'s NPPES record is Dmitriy Evtyushkin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 63rd Drive Rx, Inc.'s NPI active?
- Yes — 63rd Drive Rx, Inc.'s NPI (1285451161) is active in the NPPES registry as of the last update on 2024-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.