63rd Drive Rx, Inc.
Long Term Care Pharmacy
9418 Roosevelt Ave # 11c11d, Jackson Heights
New York, 11372-7916
718-440-4917 888-654-4334
63rd Drive Rx, Inc. is a Long Term Care Pharmacy in Jackson Heights, New York. It is located at 9418 Roosevelt Ave # 11c11d, Jackson Heights and it's customer support contact number is 718-440-4917. The authorized person of 63rd Drive Rx, Inc. is Dmitriy Evtyushkin who is Owner of the pharmacy and his contact number is 915-213-8519.
63rd Drive Rx, Inc. is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
63rd Drive Rx, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | 63rd Drive Rx, Inc. |
| Type: | Long Term Care Pharmacy |
| Location: | 9418 Roosevelt Ave # 11c11d, Jackson Heights,
New York, 11372-7916 |
| Phone: | 718-440-4917 |
| Fax: | 888-654-4334 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dmitriy Evtyushkin |
| Position: | Owner |
| Contact Number: | 915-213-8519 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1285451161 |
| NPI Enumeration Date: | 23 Sep, 2024 |
| NPI Last Update On: | 23 Sep, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 63rd Drive Rx, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 039844 | Other | New York | Ny State Board License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9418 Roosevelt Ave # 11c11d,
Jackson Heights, New York |
| Zip: | 11372-7916 |
| Phone Number: | 718-440-4917 |
| Fax Number: | 888-654-4334 |
Patients can reach 63rd Drive Rx, Inc. at
9418 Roosevelt Ave # 11c11d, Jackson Heights, New York or can
call on customer care at 718-440-4917.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.