Organization Active NPI

Lefrak Meds Inc.

  • Pharmacy
  • Corona, NY
National Provider Identifier
1407544869
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LEFRAK MEDS INC.
Practice address
9605 57TH Ave
Corona, NY 11368-3445
Phone
(719) 699-8899
Fax
(718) 699-8799
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Shalom Isakov
Title
Owner
Phone
(719) 699-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

9605 57TH Ave
Corona, NY 11368-3445

Mailing address

9605 57TH Ave
Corona, NY 11368-3445
Phone (719) 699-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231004000075 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5991159345 Practice locations: Corona, NY
O20231113002524 NY DME Supplier - Pharmacy 5991159345 Practice locations: Corona, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Lefrak Meds Inc.9605 57TH Ave, Corona, NY 11368-3445(718) 699-8899 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 7, 2023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1407544869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 57TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683445",
            "telephone_number": "719-699-8899",
            "fax_number": "718-699-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 57TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683445",
            "telephone_number": "719-699-8899",
            "fax_number": "718-699-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEFRAK MEDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "ISAKOV",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-699-8899"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.