Mr Tees Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032338 Issued in NY

Legal business name

MR TEES PHARMACY INC

Doing business as

Mr Tee's Pharmacy

Practice address

51 E 167TH St
Bronx, NY 10452-8206

Phone

(718) 588-8337

Fax

(718) 588-0050

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Roman Avulov

Title

Owner

Phone

(718) 588-8337

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr Tee's Pharmacy Doing business as

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1346670445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 167TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528206",
            "telephone_number": "718-588-8337",
            "fax_number": "718-588-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 167TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528206",
            "telephone_number": "718-588-8337",
            "fax_number": "718-588-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR TEES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "AVULOV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-588-8337"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mr Tee's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarissa Maria Mozzo, M.A., CCC-SLP, TSSLD
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• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.