Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Ave Pharma LLC

Organization Community/Retail Pharmacy · NPI 1437824117

Lake Ave Pharma LLC is a Community/Retail Pharmacy in Yonkers, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

130 Lake Ave
Yonkers, NY 10703-2713
Phone: (914) 965-3034
Fax: (914) 965-4176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1437824117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Bissah — Supervising Pharmacist · (914) 965-3034
Other names Lake Ave Pharmacy; Lake Ave Pharmacy
NPI enumeratedAugust 13, 2021
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address130 Lake Ave, Yonkers, NY 10703-2713

Other providers in Yonkers