Active NPI
Merrick Blvd Pharmacy Inc
Doing business as Merrick Drugs
- Community/Retail Pharmacy
- Jamaica, NY
National Provider Identifier
1255871356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 035406
- Legal business name
- MERRICK BLVD PHARMACY INC
- Doing business as
- Merrick Drugs
- Practice address
- 10950 Merrick Blvd
Jamaica, NY 11433-3039 - Phone
- (347) 561-9686
- Fax
- (347) 561-9540
- NPI assigned
- Mar 8, 2017
- 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
- Abram Yushuvayev
- Title
- Owner
- Phone
- (347) 561-9686
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 035406 | NY | Primary |
Addresses
Primary practice location
10950 Merrick Blvd
Jamaica, NY 11433-3039
Mailing address
10950 Merrick Blvd
Jamaica, NY 11433-3039
Phone (347) 561-9686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2169023 | Other | PK |
Other names 1
- Merrick Drugs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250402000808 | NY | Part B Supplier - Pharmacy | 2466724836 | Practice locations: Jamaica, NY |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 3
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1255871356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10950 MERRICK BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114333039",
"telephone_number": "347-561-9686",
"fax_number": "347-561-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10950 MERRICK BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114333039",
"telephone_number": "347-561-9686",
"fax_number": "347-561-9540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRICK BLVD PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-08",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "YUSHUVAYEV",
"authorized_official_first_name": "ABRAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-561-9686"
},
"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": "035406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2169023",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Merrick Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.