Active NPI
Galuvi Pharmacy Corp
- Community/Retail Pharmacy
- Corona, NY
National Provider Identifier
1417059072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 019629
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01059787 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171219000369 | NY | Part B Supplier - Pharmacy | 0749548816 | Practice locations: Corona, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Corona, NY
- NPI 1730401688
-
- Pharmacist
- Corona, NY
- NPI 1780159079
-
- Pharmacist
- Corona, NY
- NPI 1669790721
-
- Pharmacotherapy Pharmacist
- Corona, NY
- NPI 1215250709
-
- Pharmacist
- Corona, NY
- NPI 1740500651
-
- Pharmacist
- Hialeah, FL
- NPI 1639598360
-
- Physical Therapist
- Union City, NJ
- NPI 1932576972
-
- Ambulatory Care Pharmacist
- Watertown, MA
- NPI 1568949600
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.