Provider Demographics
NPI:1396125597
Name:RUSHI PHARMACY CORP.
Entity type:Organization
Organization Name:RUSHI PHARMACY CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:YASHVANT
Authorized Official - Middle Name:M
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-991-1400
Mailing Address - Street 1:1026 E 163RD ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-4309
Mailing Address - Country:US
Mailing Address - Phone:718-991-1400
Mailing Address - Fax:718-991-1412
Practice Address - Street 1:1026 E 163RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-4309
Practice Address - Country:US
Practice Address - Phone:718-991-1400
Practice Address - Fax:718-991-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0336113336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy