Organization Active NPI

Medications & Essentials Delivered Swiftly Inc.

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1316616279
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDICATIONS & ESSENTIALS DELIVERED SWIFTLY INC.
Practice address
1104 2ND Ave
New York, NY 10022-2007
Phone
(212) 371-6000
Fax
(212) 371-2255
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Mark Avezbaki
Title
President
Phone
(212) 371-6000

Specialties & licenses 1

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

Addresses

Primary practice location

1104 2ND Ave
New York, NY 10022-2007

Mailing address

1104 2ND Ave
New York, NY 10022-2007
Phone (212) 371-6000

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211111000895 NY Part B Supplier - Pharmacy 4486043502 Practice locations: New York, NY
O20211124001888 NY DME Supplier - Pharmacy 4486043502 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medications & Essentials Delivered1104 2ND Ave, New York, NY 10022-2007(212) 371-6000 Nebulizer Drugs Accepts assignmentParticipating since Feb 24, 2021

National Provider Directory

National Provider Directory

Locations

1104 2nd Ave
New York, NY 10022
Phone (212) 371-6000

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1316616279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222007",
            "telephone_number": "212-371-6000",
            "fax_number": "212-371-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222007",
            "telephone_number": "212-371-6000",
            "fax_number": "212-371-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICATIONS & ESSENTIALS DELIVERED SWIFTLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "AVEZBAKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-371-6000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "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 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.