Route 300 Pharmacy

LBN: Raina Rx Llc
Route 300 Pharmacy is an health care organization with primary practice located at 1208 Route 300 Ste 103 , Newburgh NY 12550-5003. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Raina Rx Llc can be contacted via phone (800) 810-9274, or through Montanez, Elvin via phone (407) 830-8820.

Contact Information

Primary practice address
1208 Route 300 Ste 103 Newburgh NY 12550-5003
Fax:
Website:
Authorized official contact:
Name: Montanez, Elvin PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 034308 New York
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1164881942
LBN Legal business name Raina Rx Llc
DBA Doing business as Route 300 Pharmacy
Authorized official Montanez, Elvin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2016
Last updated Aug 19th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164881942 NPPES
Other 2158749 PK

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