Active NPI
Auburndale Pharmacy Inc.
- Community/Retail Pharmacy
- Flushing, NY
National Provider Identifier
1356767065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 032568
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Brooklyn, NY
- NPI 1891883914
-
- Pharmacist
- Flushing, NY
- NPI 1811704471
-
- Pharmacist
- Flushing, NY
- NPI 1396696209
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.