Healthcare Provider Details

I. General information

NPI: 1619890720
Provider Name (Legal Business Name): VIORE PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7513 METROPOLITAN AVE
MIDDLE VILLAGE NY
11379-2638
US

IV. Provider business mailing address

7513 METROPOLITAN AVE
MIDDLE VILLAGE NY
11379-2638
US

V. Phone/Fax

Practice location:
  • Phone: 718-440-9067
  • Fax: 718-440-9037
Mailing address:
  • Phone: 718-440-9067
  • Fax: 718-440-9037

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: ETERA LEVIYEVA
Title or Position: OWNER
Credential:
Phone: 718-440-9067