# COMMUNITY CARE RX INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COMMUNITY CARE RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194011486
- **Authorized official:** DR. HOSSAM MAKSOUD PHARM D. (CEO/OWNER)
- **Authorized official phone:** (347) 561-3806

## Contact information

- **Practice address:** 131 SUNNYSIDE BLVD STE 100, PLAINVIEW, NY 11803-1539
- **Practice address phone:** (347) 561-3806
- **Practice address fax:** (347) 561-3835
- **Mailing address:** 131 SUNNYSIDE BLVD STE 100, PLAINVIEW, NY 11803-1539
- **Mailing address phone:** (347) 561-3806
- **Mailing address fax:** (347) 561-3835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 030632 | NY | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/24/2011
- **Last updated:** 06/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03361126 | — | NY |
| 01 | — | 2130890 | PK | — |
