NPIMap

Organization Active NPI

Merrick Blvd Pharmacy Inc

  • Specialty Pharmacy
  • Jamaica, NY
National Provider Identifier
1265040240
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
MERRICK BLVD PHARMACY INC
Practice address
10950 Merrick Blvd
Jamaica, NY 11433-3056
Phone
(347) 561-9686
NPI assigned
Jul 16, 2020
Organization subpart
Yes
Parent organization
MERRICK PHARMACY BLVD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Abram Yushuvayev
Title
President
Phone
(347) 561-9686

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

10950 Merrick Blvd
Jamaica, NY 11433-3056

Mailing address

10950 Merrick Blvd
Jamaica, NY 11433-3056
Phone (347) 561-9686

Other names 2

  • Merrick Drugs Doing business as
  • Merrick Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Merrick Blvd Pharmacy Inc3 organizations share this tax ID, including this one
Part of
Merrick Blvd Pharmacy Inc

Other organizations with this tax ID 2

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

Locations

10950 Merrick Blvd
Jamaica, NY 11433
Phone (347) 561-9540

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1265040240",
    "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": "114333056",
            "telephone_number": "347-561-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333056",
            "telephone_number": "347-561-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK BLVD PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERRICK PHARMACY BLVD INC",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "YUSHUVAYEV",
        "authorized_official_first_name": "ABRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-561-9686"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrick Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Merrick Specialty Pharmacy",
            "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 May 6, 2021; 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.