Active NPI
Firstmed Pharmacy Inc.
- Community/Retail Pharmacy
- Sunnyside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FIRSTMED PHARMACY INC.
- Practice address
- 3936 Queens Blvd
Sunnyside, NY 11104-3306 - Phone
- (718) 734-2964
- NPI assigned
- Jan 30, 2020
- 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
- Yevgeniy Yakubov
- Title
- Pharmacist-in-Charge
- Phone
- (718) 734-2964
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3936 Queens Blvd
Sunnyside, NY 11104-3306
Mailing address
3936 Queens Blvd
Sunnyside, NY 11104-3306
Phone (718) 734-2964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200825000494 | NY | DME Supplier - Pharmacy | 1254758139 | Practice locations: Sunnyside, NY |
| O20200917000420 | NY | Part B Supplier - Pharmacy | 1254758139 | Practice locations: Sunnyside, NY |
| O20200930001063 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254758139 | Practice locations: Sunnyside, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Firstmed Pharmacy Inc. | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
3936 Queens Blvd
Sunnyside, NY 11104
Phone (718) 734-2964
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Sunnyside, NY
- NPI 1720269236
-
- Oral and Maxillofacial Surgery (Dentist)
- Brooklyn, NY
- NPI 1255485165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597795200000",
"number": "1487285367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3936 QUEENS BLVD",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111043306",
"telephone_number": "718-734-2964",
"fax_number": "718-734-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3936 QUEENS BLVD",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111043306",
"telephone_number": "718-734-2964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRSTMED PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-30",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A",
"authorized_official_last_name": "YAKUBOV",
"authorized_official_first_name": "YEVGENIY",
"authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
"authorized_official_telephone_number": "718-734-2964"
},
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.