Escript360 Queens LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ESCRIPT360 QUEENS LLC

Doing business as

eScript360

Practice address

6619 Fresh Pond Rd
Ridgewood, NY 11385-3310

Phone

(718) 456-6667

Fax

(718) 456-6668

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Yuriy Davydov

Title

Member

Phone

(646) 633-2170

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• eScript360 Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1902663164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PENNY POND CT",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481400",
            "telephone_number": "646-633-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853310",
            "telephone_number": "718-456-6667",
            "fax_number": "718-456-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCRIPT360 QUEENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "DAVYDOV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-633-2170"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "040896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eScript360",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "eScript360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Eng, MA, ATR-BC, LCAT
• Vivien Ying Eng, L.AC.
• Brenda Lynn Enriquez, LMHC
• Michelle Enriquez
• Sydney T Enten, LMSW
• Massimo M Esposito, D.D.S.
• Ann Estevez, L.AC.
• Jonathan Estrada, LAC
• European Apothecary Inc
• Eva Sokal DDS PC

• Community/Retail Pharmacy in Ridgewood, NY
• Providers in Ridgewood, 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 May 2, 2024; 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.