Organization Active NPI

Ajanta Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1144239302
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
018218 Issued in NY
Legal business name
AJANTA PHARMACY
Practice address
2718 8TH Ave
New York, NY 10030-3706
Phone
(212) 283-6228
Fax
(212) 281-2635
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Venkateswarlu Marella, B.PHARM,M.PHARMNPI 1821311200
Title
Pres
Phone
(212) 283-6228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 018218 NY Primary

Addresses

Primary practice location

2718 8TH Ave
New York, NY 10030-3706

Mailing address

2718 8TH Ave
New York, NY 10030-3706
Phone (212) 283-6228

Other identifiers 2

IdentifierTypeStateIssuer
00841305MedicaidNY
3380386OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • AJANTA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930048644 NY DME Supplier - Pharmacy 3274743695 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Ajanta Pharmacy2718 8TH Ave, New York, NY 10030-3706(212) 283-6228 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|… Accepts assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1144239302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 8TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100303706",
            "telephone_number": "212-283-6228",
            "fax_number": "212-281-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 8TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100303706",
            "telephone_number": "212-283-6228",
            "fax_number": "212-281-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJANTA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "MARELLA",
        "authorized_official_first_name": "VENKATESWARLU",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "212-283-6228",
        "authorized_official_credential": "B.PHARM,M.PHARM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00841305",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3380386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AJANTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.