Active NPI
Vahagn Avesian
- Pharmacist
- New York, NY
National Provider Identifier
1306498407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 059083
- Practice address
- 1873 2ND Ave
New York, NY 10029-7453 - Phone
- (212) 423-1110
- Fax
- (212) 423-1114
- NPI assigned
- Jul 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 059083 | NY | Primary |
Addresses
Primary practice location
1873 2ND Ave
New York, NY 10029-7453
Mailing address
1873 2ND Ave
New York, NY 10029-7453
Phone (212) 423-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059083 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc-Rifaie RX Inc | Current | Accepting new patients | |
| Abc-Rifaie RX Inc | Past | Accepting new patients | |
| Marga Pharmacy Inc | Past | Accepting new patients | |
| Belis Pharmacy Inc | Past | Accepting new patients |
Locations
1873 2nd Ave
New York, NY 10029
Phone (212) 423-1110
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- New York, NY
- NPI 1568344182
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1629543921
-
- Pharmacy
- Bronx, NY
- NPI 1124473681
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1174039663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1306498407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1873 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100297453",
"telephone_number": "212-423-1110",
"fax_number": "212-423-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1873 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100297453",
"telephone_number": "212-423-1110",
"fax_number": "212-423-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVESIAN",
"first_name": "VAHAGN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-10",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.