Organization Active NPI

Auburndale Pharmacy Inc.

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1356767065
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032568 Issued in NY
Legal business name
AUBURNDALE PHARMACY INC.
Practice address
19215 47TH Ave
Flushing, NY 11358-3906
Phone
(718) 352-3200
Fax
(718) 352-3224
NPI assigned
Mar 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Antonette Flecha
Title
Owner/Supervisor
Phone
(718) 352-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 032568 NY Primary

Addresses

Primary practice location

19215 47TH Ave
Flushing, NY 11358-3906

Mailing address

19215 47TH Ave
Flushing, NY 11358-3906

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140806000771 NY DME Supplier - Pharmacy 2163649732 Practice locations: Flushing, NY
O20180719003110 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2163649732 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

19215 47th Ave
Flushing, NY 11358
Phone (718) 352-2000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1356767065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19215 47TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19215 47TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583906",
            "telephone_number": "718-352-3200",
            "fax_number": "718-352-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURNDALE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "FLECHA",
        "authorized_official_first_name": "ANTONETTE",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR",
        "authorized_official_telephone_number": "718-352-3200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.