Yar Trading Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035468 Issued in NY

Legal business name

YAR TRADING CORP

Doing business as

Pewex Pharmacy

Practice address

6619 Fresh Pond Rd
Ridgewood, NY 11385-3310

Phone

(718) 456-6667

Fax

(718) 456-6668

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Daniel StaniszewskiNPI 1699059600

Title

Supervising Pharmaist

Phone

(718) 456-6667

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Pewex Pharmacy Doing business as

Locations

Practitioners 1

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

• Daniel Staniszewski

  • Pharmacist
  • Ridgewood, NY
  • NPI 1699059600
  NPD Authorized official

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1932628427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-19 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853310",
            "telephone_number": "718-456-6667",
            "fax_number": "718-456-6668"
        },
        {
            "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": "YAR TRADING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "STANISZEWSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SUPERVISING PHARMAIST",
        "authorized_official_telephone_number": "718-456-6667"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04949482",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04866395",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pewex Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Wu, O.D.
• Debra Wunder
• Wyckoff Dental PC
• Wyckoff Physical Therapy PC.
• Xinyi TCM LLC (Food Therapy with Zoey)
• Tristan Yarter, PT, DPT
• Yasik 2 Inc (Avonora pharmacy)
• Yasik 2 Inc (Avonora Pharmacy)
• Shady Khairy Iskander Yassa
• Ya-Hsiu Yen, M.D.

• 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 Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.