Myrtle Meds Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MYRTLE MEDS INC

Practice address

7617 Myrtle Ave
Glendale, NY 11385-7446

Phone

(718) 650-3526

Fax

(718) 650-3527

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Benjamin Davidov

Title

President

Phone

(718) 650-3526

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

Locations

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1356971006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857446",
            "telephone_number": "718-650-3526",
            "fax_number": "718-650-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857446",
            "telephone_number": "718-650-3526",
            "fax_number": "718-650-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE MEDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "DAVIDOV",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-650-3526"
    },
    "taxonomies": [
        {
            "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": "06082728",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Muzyk
• Agnieszka Muzyka, RN
• Myrtle Ave Medical PLLC
• Myrtle Avenue Trading LLC
• Myrtle Express Pharmacy Inc
• Myrtle Wellness Pharmacy Corp
• Nicole Nagib
• Michael Narine
• National Equipment & Supply Inc
• National Vision, Inc.

• 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 Jun 23, 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.