63rd Drive Rx, Inc.
NPI 1477277655 · Community/Retail Pharmacy · Jackson Heights, NY
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
63rd Drive Rx, Inc. is a Community/Retail Pharmacy organization in Jackson Heights, NY (NPI 1477277655).
Provider details
- NPI number
- 1477277655
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dmitriy Evtyushkin, President(718) 440-4917
Specialties & taxonomies
Suppliers
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Interpharm Rx
- Doing business as
- Interpharm Rx
Registry dates
- Enumerated
- 2022-09-30
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Frequently asked questions
- What is 63rd Drive Rx, Inc.'s NPI number?
- 63rd Drive Rx, Inc.'s National Provider Identifier (NPI) is 1477277655, 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 Community/Retail 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 (915) 213-8519.
- Does 63rd Drive Rx, Inc. accept Medicare?
- 63rd Drive Rx, Inc. 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 63rd Drive Rx, Inc.?
- The authorized official listed on 63rd Drive Rx, Inc.'s NPPES record is Dmitriy Evtyushkin, President. 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 (1477277655) is active in the NPPES registry as of the last update on 2024-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.