Organization Active NPI

My Astoria RX Incorporated

Doing business as Triboro Pharmacy

  • Community/Retail Pharmacy
  • Astoria, NY
National Provider Identifier
1356123103
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Barry S Newman, PHARMACISTNPI 1518270776
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.