Active NPI
Vishnev Pharmacy Corp
- Community/Retail Pharmacy
- Far Rockaway, NY
National Provider Identifier
1215097456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 026256
- Legal business name
- VISHNEV PHARMACY CORP
- Practice address
- 495 Beach 20TH St
Far Rockaway, NY 11691-3621 - Phone
- (718) 337-1900
- Fax
- (718) 337-2277
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liliya Serebryakova
- Title
- Owner, Supervising Pharmacist
- Phone
- (718) 337-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 026256 | NY | Primary |
Addresses
Primary practice location
495 Beach 20TH St
Far Rockaway, NY 11691-3621
Mailing address
495 Beach 20TH St
Far Rockaway, NY 11691-3621
Phone (718) 337-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2063856 | Other | PK | |
| 02415910 | Medicaid | NY |
Other names 1
- FRIENDLY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930037326 | NY | DME Supplier - Pharmacy | 6002024981 | Practice locations: Far Rockaway, NY |
| O20210503001938 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 6002024981 | Practice locations: Far Rockaway, NY |
National Provider Directory
National Provider DirectoryLocations
495 Beach 20th St
Far Rockaway, NY 11691
Phone (347) 619-5950
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1427692938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1215097456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 BEACH 20TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116913621",
"telephone_number": "718-337-1900",
"fax_number": "718-337-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 BEACH 20TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116913621",
"telephone_number": "718-337-1900",
"fax_number": "718-337-2277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISHNEV PHARMACY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "SEREBRYAKOVA",
"authorized_official_first_name": "LILIYA",
"authorized_official_title_or_position": "OWNER, SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "718-337-1900"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "026256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2063856",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02415910",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FRIENDLY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.