Healthcare Provider Details

I. General information

NPI: 1720919079
Provider Name (Legal Business Name): SAFER PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 BEACH 20TH ST
FAR ROCKAWAY NY
11691-3622
US

IV. Provider business mailing address

536 BEACH 20TH ST
FAR ROCKAWAY NY
11691-3622
US

V. Phone/Fax

Practice location:
  • Phone: 718-888-8880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: YAAKOV MAVASHEV
Title or Position: PRESIDENT
Credential:
Phone: 718-888-8880