OrganizationActive
63rd Rx Corp.
NPI 1639819444 · Pharmacy · Rego Park, NY
Provider details
- NPI number
- 1639819444
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Kakzanov, President(718) 897-4747
Specialties & taxonomies
Suppliers
Suppliers
Practice location
9855 63rd Rd
Rego Park, NY 11374-1739
Phone: (718) 897-4747
Fax: (718) 897-4748
Approximate (ZIP-level) locationGet directions
Mailing address
9855 63rd Rd
Rego Park, NY 11374-1739
Registry dates
- Enumerated
- 2022-03-30
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.