Organization Active NPI

Healthy Lex Pharmacy Corp

  • Long Term Care Pharmacy
  • New York, NY
National Provider Identifier
1245054667
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Victoria YagudaevNPI 1992305916
Title
Owner
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
Long Term Care Pharmacy 3336L0003X 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

Other names 1

  • Healthy Lex Pharmacy LTC Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1245054667",
    "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": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "YAGUDAEV",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-869-0069"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Lex Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.