Healthcare Provider Details

I. General information

NPI: 1831063668
Provider Name (Legal Business Name): BAYSIDE SCRIPTS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3632 FRANCIS LEWIS BLVD
FLUSHING NY
11358-1957
US

IV. Provider business mailing address

3632 FRANCIS LEWIS BLVD
FLUSHING NY
11358-1957
US

V. Phone/Fax

Practice location:
  • Phone: 718-799-0323
  • Fax: 718-799-0229
Mailing address:
  • Phone: 718-799-0323
  • Fax: 718-799-0229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALEKSANDR MALAYEV
Title or Position: PRESIDENT
Credential:
Phone: 718-799-0323