Organization Active NPI

Ridgewood Pharmacy Express Inc

  • Community/Retail Pharmacy
  • Ridgewood, NY
National Provider Identifier
1033574041
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034120 Issued in NY
Legal business name
RIDGEWOOD PHARMACY EXPRESS INC
Doing business as
Ridgewood Pharmacy Express, INC
Practice address
5456A Myrtle Ave
Ridgewood, NY 11385-3453
Phone
(718) 366-6900
Fax
(718) 366-6901
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Yana Aronov
Title
Owner
Phone
(718) 366-6900

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 034120 NY Primary
Compounding Pharmacy 3336C0004X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

5456A Myrtle Ave
Ridgewood, NY 11385-3453

Mailing address

54-56A Myrtle Avenue
Ridgewood, NY 11385
Phone (718) 366-6900

Other identifiers 1

IdentifierTypeStateIssuer
2155956OtherPK

Other names 1

  • Ridgewood Pharmacy Express, INC Doing business as

National Provider Directory

National Provider Directory

Locations

5456 Myrtle Ave
#A
Ridgewood, NY 11385
Phone (718) 366-6900

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1033574041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54-56A MYRTLE AVENUE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "718-366-6900",
            "fax_number": "718-366-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456A MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853453",
            "telephone_number": "718-366-6900",
            "fax_number": "718-366-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD PHARMACY EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "ARONOV",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-366-6900"
    },
    "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": "034120",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155956",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgewood Pharmacy Express, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.