Organization Active NPI

Healthy Corner Pharmacy Inc

  • Community/Retail Pharmacy
  • Forest Hills, NY
National Provider Identifier
1760538409
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HEALTHY CORNER PHARMACY INC
Practice address
11665 Queens Blvd
Forest Hills, NY 11375-6533
Phone
(718) 261-6699
Fax
(718) 261-6689
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Dr. Eduard Arabov, PHARM DNPI 1790911212
Title
Pharmacist
Phone
(718) 261-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 026927 NY
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

11665 Queens Blvd
Forest Hills, NY 11375-6533

Mailing address

11665 Queens Blvd
Forest Hills, NY 11375-6533
Phone (718) 261-6699

Other identifiers 1

IdentifierTypeStateIssuer
02594329MedicaidNY

Other names 1

  • Healthy Corner Pharmacy inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930036303 NY DME Supplier - PharmacyDME Supplier - Pedorthic Personnel 0840400966 Practice locations: Forest Hills, NY
O20180717001616 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0840400966 Practice locations: Forest Hills, NY
O20251216002075 NY Part B Supplier - Pharmacy 0840400966 Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory
Tax ID family
Healthy Corner Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11665 Queens Blvd
Forest Hills, NY 11375
Phone (718) 261-6699

Practitioners & affiliated clinicians

Practitioners 3

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1760538409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11665 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756533",
            "telephone_number": "718-261-6699",
            "fax_number": "718-261-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11665 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756533",
            "telephone_number": "718-261-6699",
            "fax_number": "718-261-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CORNER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "ARABOV",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-261-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "026927",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02594329",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Corner Pharmacy inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Healthy Corner Pharmacy inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.