Provider Demographics
NPI:1871325100
Name:RYE BEACH PHARMACY, INC
Entity type:Organization
Organization Name:RYE BEACH PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GIAQUINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-967-0856
Mailing Address - Street 1:464 FOREST AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3696
Mailing Address - Country:US
Mailing Address - Phone:914-967-0856
Mailing Address - Fax:914-967-1989
Practice Address - Street 1:464 FOREST AVE STE 1
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-3696
Practice Address - Country:US
Practice Address - Phone:914-967-0856
Practice Address - Fax:914-967-1989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy