Crest Pharmacy LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024379 Issued in NY

Legal business name

CREST PHARMACY LTD

Practice address

913 Fulton St
Brooklyn, NY 11238-1752

Phone

(718) 399-8677

Fax

(718) 399-8684

NPI assigned

Oct 9, 2006

Last updated

Apr 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amner Mavlyanov

Title

President

Phone

(718) 399-8677

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1851488837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381752",
            "telephone_number": "718-399-8677",
            "fax_number": "718-399-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381752",
            "telephone_number": "718-399-8677",
            "fax_number": "718-399-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "MAVLYANOV",
        "authorized_official_first_name": "AMNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-399-8677"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01916756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleana I Crespo
• Cynthia Cress
• Jennifer Cress, OTR
• Emily Cressy, LMSW
• Crest & Coil LLC
• Crest Transportation Services, Inc. (Assist Ambulance Service)
• Crestwater Physical Therapy
• Crestwater Physical Therapy PC
• Briana Marie Cretella
• Francesca Cretella

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Apr 6, 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.