520 Franklin Avenue Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033760 Issued in NY

Legal business name

520 FRANKLIN AVENUE PHARMACY

Practice address

520 Franklin Ave Ste 103
Garden City, NY 11530-5814

Phone

(516) 280-7960

Fax

(516) 280-7962

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Janakiram Ajjarapu, RPH

Title

President Owner

Phone

(267) 888-1001

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1265813620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 103",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305814",
            "telephone_number": "516-280-7960",
            "fax_number": "516-280-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 103",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305814",
            "telephone_number": "516-280-7960",
            "fax_number": "516-280-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "520 FRANKLIN AVENUE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "AJJARAPU",
        "authorized_official_first_name": "JANAKIRAM",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "267-888-1001",
        "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": "033760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04411267",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.