Organization Active NPI

2244 First Ave LLC

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1396614384
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
2244 FIRST AVE LLC
Practice address
2244 1St Ave
New York, NY 10029-1614
Phone
(718) 640-5775
Fax
(516) 963-0184
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Igor Shamalov
Title
Owner
Phone
(718) 640-5775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2244 1St Ave
New York, NY 10029-1614

Mailing address

2244 1St Ave
New York, NY 10029-1614
Phone (718) 640-5775

National Provider Directory

National Provider Directory

Locations

2244 1st Ave
New York, NY 10029
Phone (718) 640-5775

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1396614384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291614",
            "telephone_number": "718-640-5775",
            "fax_number": "516-963-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291614",
            "telephone_number": "718-640-5775",
            "fax_number": "516-963-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2244 FIRST AVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "SHAMALOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-640-5775"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.