Organization
BOYDS OF MADISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIWA SHAGABAEV (SRP)
(817) 838-6558
Entity
Organization
Contact information
Practice address
968 3RD AVE, NEW YORK, NY 10022-2052
(212) 838-6558
(212) 838-0229
Mailing address
968 3RD AVE, NEW YORK, NY 10022-2052
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
027375
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3302471
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us