Organization Active NPI

Stuytown RX LLC

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1780425348
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
STUYTOWN RX LLC
Practice address
329 E 14TH St
New York, NY 10003-4228
Phone
(646) 838-3850
Fax
(212) 208-2574
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Roza YakubovaNPI 1295910115
Title
President
Phone
(917) 605-7527

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 1

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

Addresses

Primary practice location

329 E 14TH St
New York, NY 10003-4228

Mailing address

329 E 14TH St
New York, NY 10003-4228
Phone (646) 838-3850

Other names 1

  • stuytown pharmacy Doing business as

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250117000232 NY Part B Supplier - Pharmacy 3779011853 Practice locations: New York, NY
O20250521003567 NY DME Supplier - Pharmacy 3779011853 Practice locations: New York, NY
O20250915000077 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3779011853 Practice locations: New York, 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
Stuytown RX, LLC329 E 14TH St, New York, NY 10003-4228(646) 838-3850 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 16, 2024

National Provider Directory

National Provider Directory

Locations

329 E 14th St
New York, NY 10003
Phone (646) 838-3850

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1780425348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034228",
            "telephone_number": "646-838-3850",
            "fax_number": "212-208-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034228",
            "telephone_number": "646-838-3850",
            "fax_number": "212-208-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUYTOWN RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "YAKUBOVA",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-605-7527"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "stuytown 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 Sep 3, 2025; 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.