Avenue K Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

AVENUE K DRUGS INC

Practice address

3002 Avenue K
Brooklyn, NY 11210-4170

Phone

(718) 484-9111

Fax

(718) 228-4048

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By 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

Shoshana GadaevNPI 1609190537

Title

President

Phone

(718) 484-9111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Practitioners 1

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.

• Shoshana Gadaev

  • Pharmacist
  • Brooklyn, NY
  • NPI 1609190537
  NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1043951023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104170",
            "telephone_number": "718-484-9111",
            "fax_number": "718-228-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104170",
            "telephone_number": "718-484-9111",
            "fax_number": "718-228-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE K DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "GADAEV",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-484-9111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avenue D Dental PLLC
• Avenue D Opticians Inc
• Avenue D Professional Group P.C.
• Avenue F Pharmacy Inc.
• Avenue K (Icl)
• Avenue L Medical PC
• Avenue O Pharmacy Inc
• Avenue P Medical Arts P.C.
• Avenue P Medical Arts P.C.
• Avenue P Medical PC

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Apr 5, 2022; 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.