Active NPI
My Astoria RX Incorporated
Doing business as Triboro Pharmacy
- Community/Retail Pharmacy
- Astoria, NY
National Provider Identifier
1356123103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MY ASTORIA RX INCORPORATED
- Doing business as
- Triboro Pharmacy
- Practice address
- 3720 Ditmars Blvd
Astoria, NY 11105-1841 - Phone
- (718) 777-7033
- Fax
- (718) 777-7038
- NPI assigned
- Oct 17, 2023
- Last updated
- Oct 17, 2023
- 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
- Barry S Newman, PHARMACIST
- Title
- President/Pharmacist in Charge
- Phone
- (718) 777-7033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3720 Ditmars Blvd
Astoria, NY 11105-1841
Mailing address
3720 Ditmars Blvd
Astoria, NY 11105-1841
Phone (718) 777-7033
Other names 1
- TRIBORO 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 |
|---|---|---|---|---|
| O20240724002847 | NY | Part B Supplier - Pharmacy | 2163968389 | Practice locations: Astoria, NY |
| O20250124002696 | NY | DME Supplier - Pharmacy | 2163968389 | Practice locations: Astoria, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Forest Hills, NY
- NPI 1518270776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697500800000",
"number": "1356123103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111051841",
"telephone_number": "718-777-7033",
"fax_number": "718-777-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111051841",
"telephone_number": "718-777-7033",
"fax_number": "718-777-7038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY ASTORIA RX INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "718-777-7033",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TRIBORO PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.