Victory RX LLC

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

Legal business name

VICTORY RX LLC

Practice address

395 Forest Ave
Staten Island, NY 10301-2622

Phone

(718) 720-2324

Fax

(718) 720-2327

NPI assigned

Oct 26, 2026

Last updated

Oct 26, 2026By 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

Nicholas Amaxas, PHARMDNPI 1346564630

Title

Pic

Phone

(718) 720-2324

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Nicholas Amaxas, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1346564630
  NPD (past) Authorized official
• Motunrayo Ogunjemilusi, PHARMACIST

  • Pharmacist
  • Staten Island, NY
  • NPI 1447772462
  NPD (past)

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1184521742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012622",
            "telephone_number": "718-720-2324",
            "fax_number": "718-720-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012622",
            "telephone_number": "718-720-2324",
            "fax_number": "718-720-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "AMAXAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "718-720-2324",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Medicine PC
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• Victory Podiatry Associate PLLC
• Victory RX LLC (Randall Manor Pharmacy & Surgicals)
• Victory RX Pharma Inc
• Victoryendoscopyunit,PLLC
• Michele Ann Vigeant, LMHC
• Micaela Viggiano, BSW
• Lauren Vigilante, LMSW

• Clinical Nurse Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.