Active NPI
167 Pharmacy LLC
- Pharmacy
- Glen Head, NY
National Provider Identifier
1609784875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- 167 PHARMACY LLC
- Practice address
- 167 Glen Head Rd
Glen Head, NY 11545-3400 - Phone
- (516) 200-5304
- Fax
- (516) 669-3437
- NPI assigned
- Aug 31, 2026
- 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
- Roza Yakubova
- Title
- Owner
- Phone
- (917) 605-7527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
167 Glen Head Rd
Glen Head, NY 11545-3400
Mailing address
167 Glen Head Rd
Glen Head, NY 11545-3400
Phone (516) 200-5304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1609784875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 GLEN HEAD RD",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115453400",
"telephone_number": "516-200-5304",
"fax_number": "516-669-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 GLEN HEAD RD",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115453400",
"telephone_number": "516-200-5304",
"fax_number": "516-669-3437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "167 PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-30",
"status": "A",
"authorized_official_last_name": "YAKUBOVA",
"authorized_official_first_name": "ROZA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-605-7527"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Head, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.