NPIMap

Organization Active NPI

Merrick Blvd Pharmacy Inc

  • Mail Order Pharmacy
  • Jamaica, NY
National Provider Identifier
1972060051
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
MERRICK BLVD PHARMACY INC
Practice address
10950 Merrick Blvd
Jamaica, NY 11433-3039
Phone
(347) 561-9540
NPI assigned
Feb 26, 2019
Organization subpart
Yes
Parent organization
MERRICK BLVD PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Abram Yushuvayev
Title
President
Phone
(347) 561-9540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

10950 Merrick Blvd
Jamaica, NY 11433-3039

Mailing address

10950 Merrick Blvd
Jamaica, NY 11433-3039
Phone (347) 561-9540

Other names 1

  • Merrick Mail Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Merrick Blvd Pharmacy Inc3 organizations share this tax ID, including this one
Part of
Merrick Blvd Pharmacy Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1972060051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333039",
            "telephone_number": "347-561-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333039",
            "telephone_number": "347-561-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK BLVD PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERRICK BLVD PHARMACY INC",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "YUSHUVAYEV",
        "authorized_official_first_name": "ABRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-561-9540"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrick Mail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.