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DERIS PHARMACY INC
NPI 1659386258
Pharmacy - Community/Retail Pharmacy in Bayside, NY

Active since July 30, 2006
4748 BELL BLVD, BAYSIDE, NY 11361(718) 229-2344(718) 717-0004 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Apr 28, 2017, Jan 18, 2017 and 1 more (4 updates tracked since 2016).

About Deris Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERIS PHARMACY INC (NPI 1659386258), doing business as Bell Boulevard Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Bayside, New York and active in the NPI registry since July 2006. The organization lists Gennadiy Abdurakhmanov, President, as its authorized official.

NPPES Registry Identity

NPI1659386258
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDERIS PHARMACY INC
Location Address4748 BELL BLVDBayside, NY 11361-3334
Mailing Address4748 Bell BlvdBayside, NY 11361-3334 · (718) 229-2344 · Fax (718) 717-0004
Phone(718) 229-2344
Fax(718) 717-0004
Organization SubpartNo
Authorized OfficialGennadiy AbdurakhmanovPresident · (718) 229-2344
Enumeration DateJuly 30, 2006
Last NPPES UpdateApril 16, 20264 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1659386258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 020200
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
4748 BELL BLVD, Bayside, NY 11361
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Other Names 1

Doing Business AsBell Boulevard Pharmacy

Other Identifiers 2

Medicaid01126154NY
Other2066412Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
46 services46 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services46 patients

Medical Equipment Supplier Medicare DMEPOS 15

Medicare supplier enrollment and the product categories Bell Blvd Pharmacy carries, from the Medicare DMEPOS supplier directory.

Bell Blvd Pharmacy

DMEPOS supplier · Bayside, NYOperated by Deris Pharmacy Inc
⋮

Does not accept Medicare assignment

Bell Blvd Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20649359
Medicare Participant SinceJanuary 1, 1998
Supplier Location4748 Bell BlvdBayside, NY 11361
Phone(718) 229-2344
Supplier Specialties
Medical Supply Company Other Certified Other Pharmacy

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JANET JANNA BORUKHOV RPH
Pharmacist
4748 BELL BLVD
BAYSIDE, NY 11361
Queens County (718) 229-2344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deris Pharmacy Inc's NPI number?

The NPI number for Deris Pharmacy Inc is 1659386258. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Bell Boulevard Pharmacy.

Where is Deris Pharmacy Inc located?

Deris Pharmacy Inc is located at 4748 Bell Blvd, Bayside, NY 11361. The listed phone number is (718) 229-2344.

What is Deris Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Deris Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Bell Blvd Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Deris Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Deris Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deris Pharmacy Inc was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.