16TH Avenue Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

16TH AVENUE DRUG CORP

Practice address

4408 16TH Ave
Brooklyn, NY 11204-1012

Phone

(718) 871-6700

NPI assigned

Dec 14, 2010

Organization subpart

No

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

Authorized official

Name

Arkaidy Matatov

Title

President

Phone

(646) 209-5721

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1124321187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041012",
            "telephone_number": "718-871-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041012",
            "telephone_number": "718-871-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "16TH AVENUE DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "MATATOV",
        "authorized_official_first_name": "ARKAIDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-209-5721"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 14, 2010; 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.