79TH Street Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031405 Issued in NY

Legal business name

79TH STREET PHARMACY, INC.

Practice address

215 W 79TH St
New York, NY 10024-6242

Phone

(646) 370-5978

Fax

(646) 398-7680

NPI assigned

Oct 14, 2012

Organization subpart

No

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

Authorized official

Name

Usman Tanvir

Title

President

Phone

(646) 370-5978

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• 79th Street Pharmacy Doing business as

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

Practitioners 2

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

• Anna Murzhenko, PHARMD

  • Pharmacist
  • New York, NY
  • NPI 1467319418
  NPD (past)
• Jankiben Hasmukh Patel, PHARMD

  • Pharmacist
  • New York, NY
  • NPI 1245094457
  NPD (past)

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

{
    "created_epoch": "1350172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1992057939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246242",
            "telephone_number": "646-370-5978",
            "fax_number": "646-398-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246242",
            "telephone_number": "646-370-5978",
            "fax_number": "646-398-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "79TH STREET PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-14",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "TANVIR",
        "authorized_official_first_name": "USMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-370-5978"
    },
    "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": "031405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138136",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "79th Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Sep 2, 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.