Myrtle Wellness Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MYRTLE WELLNESS PHARMACY CORP

Practice address

6555 Myrtle Ave
Glendale, NY 11385-7028

Phone

(347) 763-0225

Fax

(347) 763-0171

NPI assigned

Jan 10, 2025

Organization subpart

No

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

Authorized official

Name

Elshan Hajiyev

Title

Owner

Phone

(347) 763-0225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1265242242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857028",
            "telephone_number": "347-763-0225",
            "fax_number": "347-763-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857028",
            "telephone_number": "347-763-0225",
            "fax_number": "347-763-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE WELLNESS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "HAJIYEV",
        "authorized_official_first_name": "ELSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-763-0225"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnieszka Muzyka, RN
• Myrtle Ave Medical PLLC
• Myrtle Avenue Trading LLC
• Myrtle Express Pharmacy Inc
• Myrtle Meds Inc
• Nicole Nagib
• Michael Narine
• National Equipment & Supply Inc
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Sandy Rob Nelson, RPH

• Community/Retail Pharmacy in Glendale, NY
• Providers in Glendale, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.