Healthcare Provider Details

I. General information

NPI: 1225976277
Provider Name (Legal Business Name): HELIX PHARMACY & MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 HEMPSTEAD TPKE
EAST MEADOW NY
11554-2264
US

IV. Provider business mailing address

2305 HEMPSTEAD TPKE
EAST MEADOW NY
11554-2264
US

V. Phone/Fax

Practice location:
  • Phone: 516-960-3269
  • Fax: 516-960-3270
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. NATANIEL ILYABAYEV
Title or Position: PRESIDENT
Credential:
Phone: 516-960-3269