Organization
21ST CENTURY PHARMACY INC
Active
Other names
21st Century Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT ALISHAYEV (PRESIDENT)
(718) 699-8899
Entity
Organization
Contact information
Practice address
9605 57TH AVE, CORONA, NY 11368-3445
(718) 699-8899
(718) 699-8799
Mailing address
9605 57TH AVE, CORONA, NY 11368
(718) 699-8899
(718) 699-8799
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032283
NY
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03742192
—
NY
01
—
2142428
PK
—
Enumeration date
10/04/2013
Last updated
09/19/2025
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