Redfern Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029414 Issued in NY

Legal business name

REDFERN DRUGS INC

Practice address

1485 Beach Channel Dr
Far Rockaway, NY 11691-3800

Phone

(718) 471-3090

NPI assigned

Apr 13, 2009

Organization subpart

No

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

Authorized official

Name

Steve Yagudayev

Title

Owner

Phone

(718) 471-3090

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Redfern Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanna Aulova, PHARM D

  • Pharmacist
  • Far Rockaway, NY
  • NPI 1821630864
  NPD (past)
• Anna Shamilova, RPH

  • Pharmacist
  • Far Rockaway, NY
  • NPI 1346480407
  NPD (past)

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1801039409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913800",
            "telephone_number": "718-471-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913800",
            "telephone_number": "718-471-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDFERN DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "YAGUDAYEV",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-471-3090"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3105795",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redfern Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sufyan Razak, MD
• Reach Higher Heights
• Reach Higher Heights
• Reaching Above the Stars Inc.
• Lokesh Karur Reddy, M.D.
• Shanna Reed
• Sarah G Reich - Feuchtwanger, OTR/L
• Bracha Avigayil Reichmann
• Shawntae Reid
• Yolanda Reid

• Community/Retail Pharmacy in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.