Active NPI
Vera I Pharmacy LLC
- Community/Retail Pharmacy
- Rego Park, NY
National Provider Identifier
1306078985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 029666
- Legal business name
- VERA I PHARMACY LLC
- Practice address
- 94-02A 63 Dr
Rego Park, NY 11374-4257 - Phone
- (718) 997-1777
- NPI assigned
- Aug 17, 2009
- 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
- Milana Uvaydova, PHARM D
- Title
- Owner/Supervising Pharmacist
- Phone
- (718) 997-1777
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 029666 | NY | Primary |
Addresses
Primary practice location
94-02A 63 Dr
Rego Park, NY 11374-4257
Mailing address
9402A 63Rd Dr
Rego Park, NY 11374-2055
Phone (718) 997-1777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3142963 | Medicaid | NY | |
| 2121532 | Other | PK |
Other names 1
- Vera I Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930094429 | NY | DME Supplier - Pharmacy | 8022218452 |
1 other NPI on this enrollment Practice locations: Rego Park, NY |
| O20210420001991 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8022218452 | Practice locations: Rego Park, NY |
| O20240108005530 | NY | Part B Supplier - Pharmacy | 8022218452 | Practice locations: Rego Park, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
9402A 63rd Dr
Rego Park, NY 11374
Phone (718) 997-1777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1306078985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9402A 63RD DR",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742055",
"telephone_number": "718-997-1777",
"fax_number": "718-997-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-02A 63 DR",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744257",
"telephone_number": "718-997-1777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERA I PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-17",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "UVAYDOVA",
"authorized_official_first_name": "MILANA",
"authorized_official_title_or_position": "OWNER/SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "718-997-1777",
"authorized_official_credential": "PHARM D"
},
"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": "029666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3142963",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2121532",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vera I Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.