Organization Active NPI

Avonora Inc

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1265821086
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AVONORA INC
Doing business as
AVONORA PHARMACY
Practice address
14901 Union Tpke
Flushing, NY 11367-3849
Phone
(718) 969-3300
Fax
(718) 969-0200
NPI assigned
Jan 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Stanley Aronov
Title
President
Phone
(718) 969-3300

Specialties & licenses 2

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

Addresses

Primary practice location

14901 Union Tpke
Flushing, NY 11367-3849

Mailing address

14901 Union Tpke
Flushing, NY 11367-3849
Phone (718) 969-3300

Other identifiers 1

IdentifierTypeStateIssuer
04348514MedicaidNY

Other names 1

  • AVONORA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160408001570 NY DME Supplier - Pharmacy 6507164407 Practice locations: Flushing, NY
O20190508001232 NY Part B Supplier - Pharmacy 6507164407 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory
Tax ID family
Avonora Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14901 Union Tpke
Flushing, NY 11367
Phone (718) 969-3300

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1265821086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673849",
            "telephone_number": "718-969-3300",
            "fax_number": "718-969-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673849",
            "telephone_number": "718-969-3300",
            "fax_number": "718-969-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONORA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "ARONOV",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-969-3300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04348514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVONORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.