Provider Demographics
NPI:1922819903
Name:EMPIRE RX PHARMACY CORP
Entity type:Organization
Organization Name:EMPIRE RX PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OCTAVIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-514-0720
Mailing Address - Street 1:1611 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-6947
Mailing Address - Country:US
Mailing Address - Phone:718-550-5049
Mailing Address - Fax:718-550-4114
Practice Address - Street 1:1611 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-6947
Practice Address - Country:US
Practice Address - Phone:718-550-5049
Practice Address - Fax:718-550-4114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy