Boyds of Madison

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BOYDS OF MADISON

Practice address

968 3Rd Ave
New York, NY 10022-2052

Phone

(212) 838-6558

Fax

(212) 838-0229

NPI assigned

Oct 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Iriwa Shagabaev

Title

SRP

Phone

(817) 838-6558

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083796874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222052",
            "telephone_number": "212-838-6558",
            "fax_number": "212-838-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYDS OF MADISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHAGABAEV",
        "authorized_official_first_name": "IRIWA",
        "authorized_official_title_or_position": "SRP",
        "authorized_official_telephone_number": "817-838-6558"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027375",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3302471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Boyd
• Sheila Yvette Boyd
• Stanley J Boyd, DMD
• Deandra Leigh Boyden
• Margaret Boyden, LCSW
• Susannah Marie Boyed, MD
• Abigail A Boyer, PNP
• Alissa Anne Boyer, APRN
• Amy L Boyer
• Catherine Ann Boyer, LCSW

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.