1875 Lexington Avenue LLC of Nys

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

1875 LEXINGTON AVENUE LLC OF NYS

Doing business as

Quick Rx

Practice address

279 Main St Ste 103
New Paltz, NY 12561-1624

Phone

(845) 295-3335

Fax

(917) 722-0851

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Bernard Lorino

Title

Pic

Phone

(917) 830-2522

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Quick Rx Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Jennifer Ann Patricia Haley, PHARM. D, CCP

  • Pharmacist
  • New York, NY
  • NPI 1275791790
  NPD (past)
• Zahra P Tafaghodi, PHARM.D.

  • Pharmacist
  • Bethesda, MD
  • NPI 1275084675
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1033323522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 SURF AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242810",
            "telephone_number": "212-249-8202",
            "fax_number": "917-722-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 MAIN ST STE 103",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611624",
            "telephone_number": "845-295-3335",
            "fax_number": "917-722-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1875 LEXINGTON AVENUE LLC OF NYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "LORINO",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "917-830-2522"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069356",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2889114",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "038230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quick Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1875 Lexington Avenue LLC of Nys (Quick Rx)
• Phyllis Heather Abend, LMT, LAC
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• Community/Retail Pharmacy in New Paltz, NY
• Providers in New Paltz, 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 Mar 18, 2021; 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.