Organization Active NPI

Odgen Family Corp

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1538017678
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ODGEN FAMILY CORP
Practice address
1392 Ogden Ave
Bronx, NY 10452-2311
Phone
(718) 872-6060
Fax
(718) 872-6055
NPI assigned
Mar 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Avi Yelizarov
Title
Owner
Phone
(718) 872-6060

Specialties & licenses 1

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

Addresses

Primary practice location

1392 Ogden Ave
Bronx, NY 10452-2311

Mailing address

1392 Ogden Ave
Bronx, NY 10452-2311
Phone (718) 872-6060

National Provider Directory

National Provider Directory

Locations

1392 Ogden Ave
Bronx, NY 10452
Phone (718) 872-6060

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1538017678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 OGDEN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104522311",
            "telephone_number": "718-872-6060",
            "fax_number": "718-872-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 OGDEN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104522311",
            "telephone_number": "718-872-6060",
            "fax_number": "718-872-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODGEN FAMILY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "YELIZAROV",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-872-6060"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.