Organization Active NPI

57 RX Pharmacy Inc

  • Community/Retail Pharmacy
  • Corona, NY
National Provider Identifier
1174427405
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
57 RX PHARMACY INC
Practice address
9705 57TH Ave Ste 2
Corona, NY 11368-3540
Phone
(718) 433-9105
Fax
(718) 433-9104
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Dmitri Pyak
Title
Owner
Phone
(718) 433-9105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

9705 57TH Ave Ste 2
Corona, NY 11368-3540

Mailing address

97-05 #2 57 Ave
Corona, NY 11368
Phone (718) 433-9105

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1174427405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97-05 #2 57 AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "11368",
            "telephone_number": "718-433-9105",
            "fax_number": "718-433-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 57TH AVE STE 2",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683540",
            "telephone_number": "718-433-9105",
            "fax_number": "718-433-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "57 RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "PYAK",
        "authorized_official_first_name": "DMITRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-433-9105"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.