63rd Rx Corp.
NPI 1639819444ActiveOrganization· Pharmacy· Rego Park, NY
Pharmacy in Rego Park, New York, registered in NPPES in March 2022. The authorized official on file is Michael Kakzanov, President. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1639819444 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2022 |
| Last updated in NPPES | Oct 23, 2023 |
| Certified by provider | Oct 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (NY) |
|---|
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