Provider Demographics
NPI:1932997657
Name:AEGIS RX PHARMACY INC
Entity type:Organization
Organization Name:AEGIS RX PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:LOPES
Authorized Official - Last Name:TEIXEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-500-2293
Mailing Address - Street 1:2418 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-3220
Mailing Address - Country:US
Mailing Address - Phone:516-500-2293
Mailing Address - Fax:516-268-9358
Practice Address - Street 1:2418 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-3220
Practice Address - Country:US
Practice Address - Phone:516-500-2293
Practice Address - Fax:516-268-9358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy