MEDICARE: IPILLS PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	039847	OTHER	NY	STATE BOARD

General Provider Information

NPI Number	:	1316664873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IPILLS PHARMACY INC

Provider Business Mailing Address
First Line	:	2540 31ST ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-1749
Country	:	US
Telephone Number	:	718-928-3335
Fax Number	:	718-540-5015

Provider Business Practice Location Address
First Line	:	2540 31ST ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-1749
Country	:	US
Telephone Number	:	718-928-3335
Fax Number	:	718-540-5015

Authorized Official
Title or Position	:	PRESIDENT
Name	:	INESSA BORUKHOVA
Credential	:
Telephone Number	:	718-928-3335

Provider Enumeration Date	:	10/25/2022
Last Update Date	:	05/26/2025

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Directions to “IPILLS PHARMACY INC ” Practice Location

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