Organization Active NPI

Delvin Pharmacy Inc

  • Community/Retail Pharmacy
  • Astoria, NY
National Provider Identifier
1265551840
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
017800 Issued in NY
Legal business name
DELVIN PHARMACY INC
Doing business as
ATHENAS PHARMACY
Practice address
32 24 Steinway St
Astoria, NY 11103-4006
Phone
(718) 204-7867
Fax
(718) 204-5936
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Julio Delerme, RPH
Title
President
Phone
(718) 204-7867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 017800 NY Primary

Addresses

Primary practice location

32 24 Steinway St
Astoria, NY 11103-4006

Mailing address

32 24 Steinway St
Astoria, NY 11103-4006
Phone (718) 204-7867

Other identifiers 2

IdentifierTypeStateIssuer
3376919OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00775773MedicaidNY

Other names 1

  • ATHENAS PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1265551840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 24 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "718-204-7867",
            "fax_number": "718-204-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 24 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "718-204-7867",
            "fax_number": "718-204-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELVIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "DELERME",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-204-7867",
        "authorized_official_credential": "RPH"
    },
    "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": "017800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3376919",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00775773",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHENAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.