Active NPI
Picos Health
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1356224513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PICOS HEALTH
- Practice address
- 2109 Broadway Apt 1206
New York, NY 10023-2284 - Phone
- (315) 759-3759
- Fax
- (315) 759-3759
- NPI assigned
- Jul 28, 2025
- 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
- Anthony Belliveau-Flores
- Title
- Chief Executive Officer
- Phone
- (315) 759-3759
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2109 Broadway Apt 1206
New York, NY 10023-2284
Mailing address
2109 Broadway Apt 1206
New York, NY 10023-2284
Phone (315) 759-3759
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1356224513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 BROADWAY APT 1206",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232284",
"telephone_number": "315-759-3759",
"fax_number": "315-759-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 BROADWAY APT 1206",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232284",
"telephone_number": "315-759-3759",
"fax_number": "315-759-3759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PICOS HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-27",
"status": "A",
"authorized_official_last_name": "BELLIVEAU-FLORES",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "315-759-3759"
},
"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 Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.