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Lake Ave Pharma LLC

Community/Retail Pharmacy in Yonkers, NY · enumerated 2021 · authorized official Jacqueline Bissah, Supervising Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437824117

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Ave Pharma LLC
Other name <Unavail>
Practice address 130 Lake Ave, Yonkers, NY, 10703
Phone (914) 965-3034
Fax (914) 965-4176
Enumeration date Aug 13, 2021
Last updated in NPPES Feb 25, 2022

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Jacqueline Bissah
Title Supervising Pharmacist
Phone (914) 965-3034

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lake Ave Pharma LLC?
NPPES lists Jacqueline Bissah (Supervising Pharmacist) as the authorized official for this organization.
What is the NPI number for Lake Ave Pharma LLC?
The NPI for Lake Ave Pharma LLC is 1437824117, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-25.