Pharmacy 63rd Rx Corp.
NPI 1386438604 · Community/Retail Pharmacy · Rego Park, NY
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pharmacy 63rd Rx Corp. is a Community/Retail Pharmacy organization in Rego Park, NY (NPI 1386438604).
Provider details
- NPI number
- 1386438604
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Stanislav Shimunov, President(718) 897-4747
Specialties & taxonomies
Suppliers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2025-04-09
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Frequently asked questions
- What is Pharmacy 63rd Rx Corp.'s NPI number?
- Pharmacy 63rd Rx Corp.'s National Provider Identifier (NPI) is 1386438604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pharmacy 63rd Rx Corp.?
- Pharmacy 63rd Rx Corp. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Pharmacy 63rd Rx Corp. located?
- Pharmacy 63rd Rx Corp.'s practice location on file with NPPES is 9855 63rd Rd, Rego Park, NY 11374-1739.
- What is Pharmacy 63rd Rx Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Pharmacy 63rd Rx Corp. is (718) 897-4747.
- Does Pharmacy 63rd Rx Corp. accept Medicare?
- Pharmacy 63rd Rx Corp. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pharmacy 63rd Rx Corp.?
- The authorized official listed on Pharmacy 63rd Rx Corp.'s NPPES record is Stanislav Shimunov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pharmacy 63rd Rx Corp.'s NPI active?
- Yes — Pharmacy 63rd Rx Corp.'s NPI (1386438604) is active in the NPPES registry as of the last update on 2026-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.