79 Expressrx Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

79 EXPRESSRX INC

Practice address

7963A Myrtle Ave
Glendale, NY 11385-7451

Phone

(347) 983-1588

Fax

(718) 223-4873

NPI assigned

Apr 4, 2023

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isak Aminov

Title

President

Phone

(347) 983-1588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Efraim Malayev, PHARMD

  • Pharmacist
  • Lynbrook, NY
  • NPI 1336927110
  NPD (past)

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1124723598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7963A MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857451",
            "telephone_number": "347-983-1588",
            "fax_number": "718-223-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7963A MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857451",
            "telephone_number": "347-983-1588",
            "fax_number": "718-223-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "79 EXPRESSRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "AMINOV",
        "authorized_official_first_name": "ISAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-983-1588"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ramon Abad
• Stacy Abate
• Salwa Abdelmalak
• Mikhail Abramov

• Pharmacy in Glendale, NY
• Providers in Glendale, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.