Lake Ave Pharma LLC
NPI 1437824117 · Community/Retail Pharmacy · Yonkers, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Ave Pharma LLC is a Community/Retail Pharmacy organization in Yonkers, NY (NPI 1437824117).
Provider details
- NPI number
- 1437824117
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jacqueline Bissah, Supervising Pharmacist(914) 965-3034
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Ave Pharmacy
- Doing business as
- Lake Ave Pharmacy
Registry dates
- Enumerated
- 2021-08-13
- Last updated
- 2022-02-25
- Certified
- 2022-02-25
Frequently asked questions
- What is Lake Ave Pharma LLC's NPI number?
- Lake Ave Pharma LLC's National Provider Identifier (NPI) is 1437824117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Ave Pharma LLC?
- Lake Ave Pharma LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lake Ave Pharma LLC located?
- Lake Ave Pharma LLC's practice location on file with NPPES is 130 Lake Ave, Yonkers, NY 10703-2713.
- What is Lake Ave Pharma LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Ave Pharma LLC is (914) 965-3034.
- Does Lake Ave Pharma LLC accept Medicare?
- Lake Ave Pharma LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Ave Pharma LLC?
- The authorized official listed on Lake Ave Pharma LLC's NPPES record is Jacqueline Bissah, Supervising Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Ave Pharma LLC's NPI active?
- Yes — Lake Ave Pharma LLC's NPI (1437824117) is active in the NPPES registry as of the last update on 2022-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.