Provider Demographics
NPI:1871126649
Name:REY PHARMACY LLC
Entity type:Organization
Organization Name:REY PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIMONOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-480-6018
Mailing Address - Street 1:6902 AUSTIN ST #2
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4250
Mailing Address - Country:US
Mailing Address - Phone:718-480-6018
Mailing Address - Fax:855-273-4017
Practice Address - Street 1:6902 AUSTIN ST #2
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4250
Practice Address - Country:US
Practice Address - Phone:718-480-6018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy