Organization Active NPI

Vera I Pharmacy LLC

  • Community/Retail Pharmacy
  • Rego Park, NY
National Provider Identifier
1306078985
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029666 Issued in NY
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

Updated by the provider on Sep 22, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3142963MedicaidNY
2121532OtherPK

Other names 1

  • Vera I Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930094429 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 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 Directory

Locations

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.

Verify at the official NPI Registry.