1. Home
  2. Directory
  3. New York
  4. Jackson Heights
  5. Pharmacy
  6. NPI Profile

63RD DRIVE RX, INC.
NPI 1285451161
Pharmacy - Long Term Care Pharmacy in Jackson Heights, NY

Active since September 23, 2024
9418 ROOSEVELT AVE # 11C11D, JACKSON HEIGHTS, NY 11372(718) 440-4917(888) 654-4334 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 63rd Drive Rx, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

63RD DRIVE RX, INC. (NPI 1285451161), doing business as Interpharm Rx, is a healthcare organization registered as a long term care pharmacy in Jackson Heights, New York and active in the NPI registry since September 2024. The organization lists Dmitriy Evtyushkin, Owner, as its authorized official.

NPPES Registry Identity

NPI1285451161
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business Name63RD DRIVE RX, INC.
Location Address9418 ROOSEVELT AVE # 11C11DJackson Heights, NY 11372-7916
Mailing Address9418 Roosevelt Ave # 11c11dJackson Heights, NY 11372-7916 · (718) 440-4917 · Fax (888) 654-4334
Phone(718) 440-4917
Fax(888) 654-4334
Organization SubpartNo
Authorized OfficialDmitriy EvtyushkinOwner · (915) 213-8519
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1285451161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
9418 ROOSEVELT AVE # 11C11D, Jackson Heights, NY 11372
Open in Google Maps ↗

Other Names 1

Doing Business AsInterpharm Rx

Other Identifiers 1

Other039844NY · Ny State Board License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Kansas City and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

63RD DRIVE RX, INC.
Pharmacy (Community/Retail Pharmacy)
9418 ROOSEVELT AVE # 11C11D
JACKSON HEIGHTS, NY 11372
Queens County (915) 213-8519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 63rd Drive Rx, Inc.'s NPI number?

The NPI number for 63rd Drive Rx, Inc. is 1285451161. It was assigned to this organization in the NPPES registry on September 23, 2024. The provider is doing business as InterPharm Rx.

Where is 63rd Drive Rx, Inc. located?

63rd Drive Rx, Inc. is located at 9418 Roosevelt Ave # 11c11d, Jackson Heights, NY 11372. The listed phone number is (718) 440-4917.

What is 63rd Drive Rx, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does 63rd Drive Rx, Inc. accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Kansas City and 7 other insurers list 63rd Drive Rx, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 63rd Drive Rx, Inc. was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.