REX SPECIALTY PHARMACY CORP NPI 1649415704

NPI Information

NPI: 1649415704
Provider Name: REX SPECIALTY PHARMACY CORP
Classification: Pharmacy - 333600000X
Entity Type: Organization
Doing Business As: CRESCENT PHARMACY
Address: 48 CENTRAL CT
VALLEY STREAM, NY
ZIP 11580
Phone: (516) 593-7747

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NPI Details

REX SPECIALTY PHARMACY CORP is a pharmacy in Valley Stream, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. REX SPECIALTY PHARMACY CORP NPI is 1649415704. The provider is registered as an organization entity type.
The provider Is Doing Business As Crescent Pharmacy.

The provider's business location address is:

48 CENTRAL CT
VALLEY STREAM, NY
ZIP 11580-143
Phone: (516) 593-7747
Fax: (516) 593-7094

The provider's authorized official is Ali Hassan Jaffery .
The authorized official title is President/supervising Pharmacist and has the following contact phone number (516) 593-7747.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 9/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0003X	Pharmacy	Community/Retail Pharmacy	029168	NEW YORK	No
2	333600000X	Pharmacy				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03047692	MEDICAID	NEW YORK
2	3359533	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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