Organization Active NPI

Lefferts Drugs Inc

  • Community/Retail Pharmacy
  • Richmond Hill, NY
National Provider Identifier
1891393484
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LEFFERTS DRUGS INC
Practice address
8611 Lefferts Blvd
Store #5
Richmond Hill, NY 11418
Phone
(929) 354-0097
Fax
(929) 354-0098
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Iosif Ilyayev
Title
President
Phone
(929) 354-0097

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8611 Lefferts Blvd
Store #5
Richmond Hill, NY 11418

Mailing address

8611 Lefferts Blvd
Store #5
Richmond Hill, NY 11418
Phone (929) 354-0097

Other identifiers 1

IdentifierTypeStateIssuer
06724363MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210319002022 NY DME Supplier - Pharmacy 9638586548 Practice locations: Richmond Hill, NY
O20220804002743 NY Part B Supplier - Pharmacy 9638586548 Practice locations: Richmond Hill, 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
Lefferts Drugs Inc8611 Lefferts Blvd, Richmond Hill, NY 11418-2536(929) 354-0097 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Surgical Dressings Accepts assignmentParticipating since Mar 7, 2021

National Provider Directory

National Provider Directory

Locations

8611 Lefferts Blvd
Unit 5
Richmond Hill, NY 11418
Phone (929) 354-0097

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1891393484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 LEFFERTS BLVD",
            "address_2": "STORE #5",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "929-354-0097",
            "fax_number": "929-354-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 LEFFERTS BLVD",
            "address_2": "STORE #5",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "929-354-0097",
            "fax_number": "929-354-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEFFERTS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "ILYAYEV",
        "authorized_official_first_name": "IOSIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-354-0097"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06724363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.