Frederick Community Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

FREDERICK COMMUNITY PHARMACY INC

Practice address

2450 Frederick Douglas Blvd
New York, NY 10027

Phone

(212) 690-5202

Fax

(212) 690-5204

NPI assigned

Sep 18, 2017

Organization subpart

No

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

Authorized official

Name

Vycheslav Yagudayev

Title

President

Phone

(212) 690-5202

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

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205355658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277701",
            "telephone_number": "212-690-5202",
            "fax_number": "212-690-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 FREDERICK DOUGLAS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10027",
            "telephone_number": "212-690-5202",
            "fax_number": "212-690-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YAGUDAYEV",
        "authorized_official_first_name": "VYCHESLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-690-5202"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Freda
• Sarah Elizabeth Fredbeck
• Michael Freddy, MD
• Caroline Elizabeth Freden, MA
• Frederic Fenig M.D., LLC
• Frederick E. Solomon
• Frederick Rutkovsky MD PC
• Frederick S Mendelsohn MD PC
• Hazel Beverly Frederick-McMillan
• Aquilla Frederick, M.B.A., L.M.S.W.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.