MEDICARE: Y&G PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1578179859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Y&G PHARMACY INC

Provider Business Mailing Address
First Line	:	8017 MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7642
Country	:	US
Telephone Number	:	718-559-8017
Fax Number	:	718-559-8777

Provider Business Practice Location Address
First Line	:	8017 MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7642
Country	:	US
Telephone Number	:	718-559-8017
Fax Number	:	718-559-8777

Authorized Official
Title or Position	:	PRESIDENT
Name	:	INNA TAMAYEVA
Credential	:
Telephone Number	:	718-559-8017

Provider Enumeration Date	:	09/22/2020
Last Update Date	:	04/28/2026

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Directions to “Y&G PHARMACY INC ” Practice Location

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