OrganizationActive
119th St Pharmacy LLC
NPI 1235935719 · Community/Retail Pharmacy · New York, NY
Provider details
- NPI number
- 1235935719
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Authorized official
- Mirsaid Shadiev, President
Practice location
181 E 119th St
New York, NY 10035-4069
Phone: (929) 348-0044
Fax: (347) 330-7662
Mailing address
181 E 119th St # 10035
New York, NY 10035-4069
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.