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Contact Information

77 PHARMACY INC
8215 ROOSEVELT AVE
JACKSON HEIGHTS, NY11372-7034
 Phone: 718-898-7777
 Fax: 718-898-7775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for 77 PHARMACY INC

NPI # 1255296299
LBN Legal business name 77 PHARMACY INC
Authorized official RONALD RIVAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2025
Last updated 12/22/2025 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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