Avi Pharmacy Corp
Pharmacy, Community/Retail Pharmacy in Great Neck, NY. Organization (NPI-2).
NPI number1740976083
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1740976083
- Entity type
- Organization (NPI-2)
- Legal business name
- Avi Pharmacy Corp
- Organization subpart
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
554 Northern BlvdGreat Neck, NY 11021-5105
Phone 516-439-4055 · Fax 516-439-4054
Mailing address
554 Northern BlvdGreat Neck, NY 11021-5105
Phone 516-439-4055 · Fax 516-439-4054
Authorized official
Kakhramon Fayziev
President
5163045602
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