Organization
CVS RX INC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS KANDOV (OWNER)
(718) 997-7444
Entity
Organization
Contact information
Practice address
9914 63RD RD, REGO PARK, NY 11374-1940
(718) 997-7444
(718) 997-7445
Mailing address
99-14 63RD ROAD, REGO PARK, NY 11374
(718) 997-7444
(718) 997-7445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032586
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03874884
—
NY
01
—
2145106
PK
—
Enumeration date
01/13/2014
Last updated
09/19/2025
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