Provider Demographics
NPI:1033079207
Name:ATLANTIC RX INC.
Entity type:Organization
Organization Name:ATLANTIC RX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BISONO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-865-6718
Mailing Address - Street 1:2930 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-2729
Mailing Address - Country:US
Mailing Address - Phone:347-865-6718
Mailing Address - Fax:718-676-0910
Practice Address - Street 1:2930 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-2729
Practice Address - Country:US
Practice Address - Phone:347-865-6718
Practice Address - Fax:718-676-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy