Organization Active NPI

Oprx Pharmacy #10709, LLC

  • Community/Retail Pharmacy
  • Eastchester, NY
National Provider Identifier
1730853680
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OPRX PHARMACY #10709, LLC
Practice address
1 Tuckahoe Ave
Eastchester, NY 10709-2924
Phone
(914) 771-5640
Fax
(914) 771-8494
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Dinara Shermukhamedova
Title
President
Phone
(914) 771-5640

Specialties & licenses 1

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

Addresses

Primary practice location

1 Tuckahoe Ave
Eastchester, NY 10709-2924

Mailing address

1 Tuckahoe Ave
Eastchester, NY 10709-2924
Phone (914) 771-5640

Other identifiers 1

IdentifierTypeStateIssuer
07416159MedicaidNY

Other names 2

  • HEALIX PHARMACY Doing business as
  • Value Drugs Pharmacy - Eastchester Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220722002426 NY Part B Supplier - Pharmacy 4688055528 Practice locations: Eastchester, NY
O20220819001236 NY DME Supplier - Pharmacy 4688055528 Practice locations: Eastchester, 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
Oprx Pharmacy #10709, LLC1 Tuckahoe Ave, Eastchester, NY 10709-2924(914) 771-5640 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 9, 2022

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1730853680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TUCKAHOE AVE",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092924",
            "telephone_number": "914-771-5640",
            "fax_number": "914-771-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TUCKAHOE AVE",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092924",
            "telephone_number": "914-771-5640",
            "fax_number": "914-771-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPRX PHARMACY #10709, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "SHERMUKHAMEDOVA",
        "authorized_official_first_name": "DINARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-771-5640"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07416159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALIX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Value Drugs Pharmacy - Eastchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastchester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.