Deris Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020200 Issued in NY

Legal business name

DERIS PHARMACY INC

Practice address

4748 Bell Blvd
Bayside, NY 11361-3334

Phone

(718) 229-2344

Fax

(718) 717-0004

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Gennadiy Abdurakhmanov

Title

President

Phone

(718) 229-2344

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BELL BOULEVARD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Janna Borukhov, RPH

  • Pharmacist
  • Bayside, NY
  • NPI 1659694289
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1659386258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613334",
            "telephone_number": "718-229-2344",
            "fax_number": "718-717-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4748 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613334",
            "telephone_number": "718-229-2344",
            "fax_number": "718-717-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERIS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "ABDURAKHMANOV",
        "authorized_official_first_name": "GENNADIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-229-2344"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01126154",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELL BOULEVARD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chantal Dennis-George, LMSW
• Dentistry by Sherry
• Anisio Deoliveira, CCC-SLP
• Elizabeth Depaola, PT, DPT
• Lisa Deranieri
• Suresh Desai, RPH
• Theresa Caroline Devereaux, P.T.
• Elizabeth Ann Devivo, RN
• Sayyada Dewji, OTR/L, OTD
• Jill M Diamond, AUD

• Community/Retail Pharmacy in Bayside, NY
• Providers in Bayside, NY by specialty
• Community/Retail Pharmacy in New York

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