Iefa LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

IEFA LLC

Doing business as

Drug Worx

Practice address

4197 Broadway
New York, NY 10033-3735

Phone

(212) 795-7455

Fax

(212) 795-7456

NPI assigned

Feb 28, 2013

Organization subpart

No

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

Authorized official

Name

Igor Fattakhov

Title

President

Phone

(212) 795-7455

Specialties & licenses 1

Addresses

Other names 1

• DRUG WORX Doing business as

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1083954010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333735",
            "telephone_number": "212-795-7455",
            "fax_number": "212-795-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4197 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333735",
            "telephone_number": "212-795-7455",
            "fax_number": "212-795-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IEFA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "FATTAKHOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-795-7455"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG WORX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shereene Idriss, M.D.
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• Osamuyimen Elizabeth Idusogie
• Iea Chelsea LLC
• Rosemarie Elizabeth Ieda, LCSW-R
• Gina Ienco
• Jeanine Ierardi
• Jennifer Ann Ierardi, NP
• Katherine Ierardi, NP
• Tejumola Ifatusin, RN

• 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 Dec 17, 2013; 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.