Organization Active NPI

Avighna RX LLC

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1003335191
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035850 Issued in NY
Legal business name
AVIGHNA RX LLC
Practice address
7 Bedford Park Blvd E
Bronx, NY 10468-1771
Phone
(718) 975-4411
Fax
(718) 975-4413
NPI assigned
Sep 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Srikanth ChamakuraNPI 1235377136
Title
Owner/Pharmacist
Phone
(718) 975-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035850 NY Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

7 Bedford Park Blvd E
Bronx, NY 10468-1771

Mailing address

7 Bedford Park Blvd E
Bronx, NY 10468-1771
Phone (718) 975-4411

Other identifiers 1

IdentifierTypeStateIssuer
2174808OtherPK

Other names 1

  • Pulse Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180327003154 NY DME Supplier - Pharmacy 0648532895 Practice locations: Bronx, NY
O20210423001949 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0648532895 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Avighna RX LLC7 Bedford Park Blvd E, Bronx, NY 10468-1771(718) 975-4411 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Dec 5, 2017

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1003335191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BEDFORD PARK BLVD E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681771",
            "telephone_number": "718-975-4411",
            "fax_number": "718-975-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BEDFORD PARK BLVD E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681771",
            "telephone_number": "718-975-4411",
            "fax_number": "718-975-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIGHNA RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "CHAMAKURA",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "718-975-4411"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035850",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PULSE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pulse Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.