Organization Active NPI

New Bridge Pharmacy Corp

  • Community/Retail Pharmacy
  • Hicksville, NY
National Provider Identifier
1538947429
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NEW BRIDGE PHARMACY CORP
Practice address
420 Newbridge Rd
Hicksville, NY 11801-3964
Phone
(516) 303-9944
Fax
(516) 303-9951
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Arkadiy GadayevNPI 1730601378
Title
Owner/Supervising Pharmacist
Phone
(516) 303-9944

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 1

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

Addresses

Primary practice location

420 Newbridge Rd
Hicksville, NY 11801-3964

Mailing address

420 Newbridge Rd
Hicksville, NY 11801-3964
Phone (516) 303-9944

Other names 1

  • NEWBRIDGE PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231103000294 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9335596949 Practice locations: Hicksville, NY
O20240603002109 NY DME Supplier - Pharmacy 9335596949 Practice locations: Hicksville, 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
New Bridge Pharmacy Corp420 Newbridge Rd, Hicksville, NY 11801-3964(516) 303-9944 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Sep 24, 2023

National Provider Directory

National Provider Directory

Locations

420 Newbridge Rd
Hicksville, NY 11801
Phone (516) 303-9944

Practitioners & affiliated clinicians

Practitioners 1

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": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1538947429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NEWBRIDGE RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013964",
            "telephone_number": "516-303-9944",
            "fax_number": "516-303-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NEWBRIDGE RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013964",
            "telephone_number": "516-303-9944",
            "fax_number": "516-303-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRIDGE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "GADAYEV",
        "authorized_official_first_name": "ARKADIY",
        "authorized_official_title_or_position": "OWNER/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "516-303-9944"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWBRIDGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.