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

Southbridge Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1134963291

Southbridge Pharmacy Inc is a Community/Retail Pharmacy in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

80 Beekman St
New York, NY 10038-1891
Phone: (212) 786-5840
Fax: (212) 786-5841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1134963291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Violetta Fazylova — President/Pharmacist/Authorized Off · (212) 786-5840
Other names Southbridge Pharmacy Inc
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address80 Beekman St, New York, NY 10038-1891

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