Provider Demographics
NPI:1043291057
Name:A.Y. PHARMACY INC.
Entity Type:Organization
Organization Name:A.Y. PHARMACY INC.
Other - Org Name:PARAS DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIK
Authorized Official - Middle Name:
Authorized Official - Last Name:YERSHOV
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-372-8795
Mailing Address - Street 1:2070 BATH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4904
Mailing Address - Country:US
Mailing Address - Phone:718-372-8795
Mailing Address - Fax:718-372-9419
Practice Address - Street 1:2070 BATH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4904
Practice Address - Country:US
Practice Address - Phone:718-372-8795
Practice Address - Fax:718-372-9419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01774083Medicaid
NY1293200001Medicare NSC