Organization Active NPI

1590 Lex RX, LLC

  • Pharmacy
  • New York, NY
National Provider Identifier
1700624764
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
1590 LEX RX, LLC
Doing business as
Lexington Pharmacy
Practice address
1590 Lexington Ave
New York, NY 10029-6109
Phone
(646) 661-5500
Fax
(646) 558-4540
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Roza Yakubova
Title
Owner
Phone
(718) 640-5775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1590 Lexington Ave
New York, NY 10029-6109

Mailing address

6 Heritage CT
Greenvale, NY 11548-1109
Phone (718) 640-5775

Other names 1

  • Lexington Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1590 Lexington Ave
New York, NY 10029
Phone (646) 661-5500

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1700624764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HERITAGE CT",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481109",
            "telephone_number": "718-640-5775",
            "fax_number": "646-558-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296109",
            "telephone_number": "646-661-5500",
            "fax_number": "646-558-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1590 LEX RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "YAKUBOVA",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-640-5775"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.