Active NPI
Avonora Inc
- Community/Retail Pharmacy
- Flushing, NY
National Provider Identifier
1265821086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04348514 | Medicaid | NY |
Other names 1
- AVONORA PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Flushing, NY
- NPI 1154965820
-
- Mail Order Pharmacy
- Flushing, NY
- NPI 1184416018
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.