Avenue X Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

015660 Issued in NY

Legal business name

AVENUE X PHARMACY INC

Doing business as

Avenue X Pharmacy

Practice address

319 Avenue X
Brooklyn, NY 11223-5933

Phone

(718) 375-3701

Fax

(718) 645-7544

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Ronald RandazzoNPI 1417271263

Title

President

Phone

(718) 375-3701

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• AVENUE X PHARMACY Doing business as

Locations

Practitioners 1

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

• Ronald N Randazzo, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1417271263
  NPD (past) Authorized official

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1003853953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235933",
            "telephone_number": "718-375-3701",
            "fax_number": "718-645-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE X PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "RANDAZZO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-375-3701"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "015660",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01017963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3318525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVENUE X PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avenue U Pediatrics, PC
• Avenue U Podiatry,P.C.
• Avenue V Cardiology P.C
• Avenue V Prescriptions Inc (Beacon Chemist)
• Avenue X Dental PLLC
• Avenue X Primary Medical Care P.C.
• Avenues Mental Health Counseling, PLLC
• Avenza Supply Inc
• Avenza Supply Inc
• Avenza Supply Inc

• Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.