# SUPREME RX PHARMACY CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366259988
- **Authorized official:** TANYA MIZRAHI RPH (SUPERVISING PHARMACIST/OWNER)
- **Authorized official phone:** (917) 991-5380

## Contact information

- **Practice address:** 3011 AVENUE N, BROOKLYN, NY 11210-5410
- **Practice address phone:** (917) 416-8471
- **Practice address fax:** (718) 677-6601
- **Mailing address:** 3011 AVENUE N, BROOKLYN, NY 11210-5410
- **Mailing address phone:** (917) 416-8471
- **Mailing address fax:** (718) 677-6601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2024
- **Last updated:** 02/14/2025