Organization Active NPI

Healthy Lex Pharmacy Corp

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1235982919
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HEALTHY LEX PHARMACY CORP
Practice address
1901 Lexington Ave
New York, NY 10035-4038
Phone
(646) 869-0069
Fax
(646) 869-0068
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Victoria YagudaevNPI 1992305916
Title
President
Phone
(646) 869-0069

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 1

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

Addresses

Primary practice location

1901 Lexington Ave
New York, NY 10035-4038

Mailing address

1901 Lexington Ave
New York, NY 10035-4038
Phone (646) 869-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240826001710 NY Part B Supplier - Pharmacy 7113466970 Practice locations: New York, NY
O20250204003277 NY DME Supplier - Pharmacy 7113466970 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Healthy Lex Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1235982919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354038",
            "telephone_number": "646-869-0069",
            "fax_number": "646-869-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354038",
            "telephone_number": "646-869-0069",
            "fax_number": "646-869-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LEX PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "YAGUDAEV",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-869-0069"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.

Verify at the official NPI Registry.