32-24 Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031325 Issued in NY

Legal business name

32-24 DRUG CORP

Doing business as

Athenas Pharmacy

Practice address

3284 Steinway St
Astoria, NY 11103-4006

Phone

(718) 204-7867

Fax

(718) 204-5936

NPI assigned

Mar 13, 2012

Last updated

Feb 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikhail Borukhov

Title

President

Phone

(718) 204-7867

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Athenas Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julio Delerme

  • Pharmacist
  • Astoria, NY
  • NPI 1275807828
  NPD (past)
• Dani Kandov

  • Pharmacist
  • Rego Park, NY
  • NPI 1881106680
  NPD (past)
• Leana S Kandov

  • Pharmacist
  • Middle Village, NY
  • NPI 1417116021
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1013282722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "718-204-7867",
            "fax_number": "718-204-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "718-204-7867",
            "fax_number": "718-204-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "32-24 DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "BORUKHOV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-204-7867"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031325",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135862",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athenas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Athenas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Astoria, NY
• Providers in Astoria, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.