Active NPI
Carewell Inc
- Community/Retail Pharmacy
- South Richmond Hill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CAREWELL INC
- Practice address
- 11114 Liberty Ave
South Richmond Hill, NY 11419-1812 - Phone
- (718) 880-1940
- Fax
- (718) 880-1939
- NPI assigned
- Mar 22, 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
- Mr. Ilya Ilyayev
- Title
- Manager
- Phone
- (718) 880-1940
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 032781 | NY | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
11114 Liberty Ave
South Richmond Hill, NY 11419-1812
Mailing address
11114 Liberty Ave
South Richmond Hill, NY 11419-1812
Phone (718) 880-1940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04833405 | Medicaid | NY |
Other names 1
- Elite & Surgical 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 |
|---|---|---|---|---|
| O20171113002074 | NY | DME Supplier - Pharmacy | 7214293968 | Practice locations: South Richmond Hill, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Carewell Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|External Infusion Pumps and/or Supplies|Insuli… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
11114 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 880-1940
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Yonkers, NY
- NPI 1093207839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1306377346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11114 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191812",
"telephone_number": "718-880-1940",
"fax_number": "718-880-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11114 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191812",
"telephone_number": "718-880-1940",
"fax_number": "718-880-1939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREWELL INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-22",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "ILYAYEV",
"authorized_official_first_name": "ILYA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-880-1940",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NY",
"license": "032781",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04833405",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite & Surgical Drugs",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Elite & Surgical Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.