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

INTERPHARM RX
NPI 1477277655
Pharmacy - Community/Retail Pharmacy in Jackson Heights, NY

Active since September 30, 2022
9418 ROOSEVELT AVE # 11C11D, JACKSON HEIGHTS, NY 11372(915) 213-8519 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 17, 2024, Oct 24, 2022, Sep 30, 2022 (3 updates tracked since 2022).

About Interpharm Rx NPPES

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

INTERPHARM RX (NPI 1477277655) is a healthcare organization registered as a community/retail pharmacy in Jackson Heights, New York and active in the NPI registry since September 2022. The organization lists Dmitriy Evtyushkin, President, as its authorized official.

NPPES Registry Identity

NPI1477277655
Entity TypeOrganization
Primary Taxonomy3336C0003X
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(915) 213-8519
Organization SubpartNo
Authorized OfficialDmitriy EvtyushkinPresident · (718) 440-4917
Enumeration DateSeptember 30, 2022
Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1477277655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
9418 ROOSEVELT AVE # 11C11D, Jackson Heights, NY 11372
Open in Google Maps ↗

Other Names 1

Doing Business AsInterpharm Rx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories 63rd Drive Rx, Inc. Dba Interpharm carries, from the Medicare DMEPOS supplier directory.

63rd Drive Rx, Inc. Dba Interpharm

DMEPOS supplier · Jackson Heights, NYOperated by 63rd Drive Rx Inc
✔

Accepts Medicare assignment

63rd Drive Rx, Inc. Dba Interpharm agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20346431
Medicare Participant SinceNovember 25, 2022
Supplier Location94-18 Roosevelt Ave Store 11C & 11DJackson Heights, NY 11372
Phone(718) 440-4917
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 (Long Term Care Pharmacy)
9418 ROOSEVELT AVE # 11C11D
JACKSON HEIGHTS, NY 11372
Queens County (718) 440-4917

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 1477277655. It was assigned to this organization in the NPPES registry on September 30, 2022. 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 (915) 213-8519.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does 63rd Drive Rx, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, 63rd Drive Rx, Inc. Dba Interpharm accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 42 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 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.