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79 Expressrx Inc

NPI 1124723598ActiveOrganization· Pharmacy· Glendale, NY

Pharmacy in Glendale, New York, registered in NPPES in April 2023. The authorized official on file is Isak Aminov, President. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).

Overview

NPI1124723598
StatusActive
Entity typeOrganization
NPI issuedApr 4, 2023
Last updated in NPPESMay 9, 2023
Certified by providerMay 9, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (NY); Part B Supplier - Mass Immunization (Roster Biller Only) (NY)

Medicare sources and data years

Other Pharmacy providers in Glendale

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