5TH Avenue Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

027438 Issued in NY

Legal business name

5TH AVENUE PHARMACY INC

Practice address

4818 5TH Ave
Brooklyn, NY 11220-1936

Phone

(718) 439-8585

Fax

(718) 439-8567

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Avraham Pudel

Title

Pesident

Phone

(718) 439-8585

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Nunzio Aliota, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1861879009
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1285731109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201936",
            "telephone_number": "718-439-8585",
            "fax_number": "718-439-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5TH AVENUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "PUDEL",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "PESIDENT",
        "authorized_official_telephone_number": "718-439-8585"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027438",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02703840",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3347994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 5TH Avenue Medical Health PC
• 5TH Avenue Vision Center LLC
• 63 Lee Ave Pharmacy Inc (Stuart Slater Pharmacy)
• 65 Sweet Home Adult Daycare Center
• 668 Pharmacy Inc
• 679 Stanley Avenue Drugs Inc (Marben Pharmacy)

• Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.