Organization
COMPOUNDING FACILITY INC
Active
Other names
The RX Department
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANNICHARICO (OWNER/AO)
(718) 227-0667
Entity
Organization
Contact information
Practice address
100 GREAVES LN, STATEN ISLAND, NY 10308-2171
(718) 227-0667
(718) 227-4551
Mailing address
100 GREAVES LANE, STATEN ISLAND, NY 10308
(718) 227-0667
(718) 227-4551
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032570
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04408628
—
NY
01
—
2125714
PK
—
Enumeration date
07/07/2010
Last updated
09/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us