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General NPI Number Information
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NPI Number | 1952845513
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Entity Type | Organization
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Legal Business Name | 3 GEM PHARMACY INC
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Dates
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Enumeration Date | 12/15/2016
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1398 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10456-1220
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Country | US
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Telephone | 718-588-3333
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Fax | 718-588-3334
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Provider Business Mailing Address
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Address Line | 1398 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10456-1220
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Country | US
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Telephone | 718-588-3333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YANA GADAYEVA
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Credential |
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Telephone | 718-588-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 035106
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License Number State | NY
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