Organization Active NPI

I&Y Pharmacy Corp

  • Community/Retail Pharmacy
  • Ridgewood, NY
National Provider Identifier
1720753882
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
I&Y PHARMACY CORP
Practice address
6669 Fresh Pond Rd
Ridgewood, NY 11385-3960
Phone
(718) 368-6060
Fax
(718) 368-6061
NPI assigned
Aug 11, 2021
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Artem Rafailov
Title
Owner
Phone
(718) 368-6060

Specialties & licenses 1

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

Addresses

Primary practice location

6669 Fresh Pond Rd
Ridgewood, NY 11385-3960

Mailing address

6669 Fresh Pond Rd
Ridgewood, NY 11385-3960
Phone (718) 368-6060

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210917002631 NY DME Supplier - Pharmacy 4284031220 Practice locations: Ridgewood, NY
O20211116001637 NY Part B Supplier - Pharmacy 4284031220 Practice locations: Ridgewood, 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
I&Y Pharmacy Corp6669 Fresh Pond Rd, Ridgewood, NY 11385-3960(718) 368-6060 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2022

National Provider Directory

National Provider Directory

Locations

6669 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 368-6060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1720753882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6669 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853960",
            "telephone_number": "718-368-6060",
            "fax_number": "718-368-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6669 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853960",
            "telephone_number": "718-368-6060",
            "fax_number": "718-368-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I&Y PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "RAFAILOV",
        "authorized_official_first_name": "ARTEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-368-6060"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.