Organization Active NPI

Galuvi Pharmacy Corp

  • Community/Retail Pharmacy
  • Corona, NY
National Provider Identifier
1417059072
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
019629 Issued in NY
Legal business name
GALUVI PHARMACY CORP
Practice address
4023 Junction Blvd
Corona, NY 11368-2123
Phone
(718) 898-9833
Fax
(718) 898-9834
NPI assigned
Sep 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Mr. Elvio Joel Vivas
Title
President
Phone
(718) 898-9833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 019629 NY Primary

Addresses

Primary practice location

4023 Junction Blvd
Corona, NY 11368-2123

Mailing address

11201 Queens Blvd
Unit#14 D
Forest Hills, NY 11375-5566
Phone (718) 544-9532

Other identifiers 1

IdentifierTypeStateIssuer
01059787MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171219000369 NY Part B Supplier - Pharmacy 0749548816 Practice locations: Corona, NY

National Provider Directory

National Provider Directory

Locations

4023 Junction Blvd
Flushing, NY 11368
Phone (718) 898-9833

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1417059072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 QUEENS BLVD",
            "address_2": "UNIT#14 D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755566",
            "telephone_number": "718-544-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682123",
            "telephone_number": "718-898-9833",
            "fax_number": "718-898-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALUVI PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-03",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "VIVAS",
        "authorized_official_first_name": "ELVIO",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-898-9833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01059787",
            "state": "NY"
        }
    ],
    "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 Jul 13, 2026; 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.