Organization Active NPI

Pelvov, Inc

  • Community/Retail Pharmacy
  • Astoria, NY
National Provider Identifier
1356776488
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032268 Issued in NY
Legal business name
PELVOV, INC
Doing business as
Chronos Pharmacy
Practice address
3096 36TH St
Astoria, NY 11103-4705
Phone
(718) 932-8700
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Peter LevisNPI 1417096793
Title
Treasurer, Pelvov, Inc.
Phone
(718) 267-8063

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 032268 NY Primary

Addresses

Primary practice location

3096 36TH St
Astoria, NY 11103-4705

Mailing address

PO Box 6227
Astoria, NY 11106-0227
Phone (718) 932-8700

Other identifiers 2

IdentifierTypeStateIssuer
032268OtherNYNYS BOARD OF PHARMACY
03957724MedicaidNY

Other names 1

  • Chronos Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.levis@titanrx.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140603002418 NY DME Supplier - Pharmacy 3476776832 Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Locations

3104 35th St
Astoria, NY 11106
Phone (718) 932-8700

3096 36th St
Astoria, NY 11103
Phone (718) 932-8700

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": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1356776488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6227",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111060227",
            "telephone_number": "718-932-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 36TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034705",
            "telephone_number": "718-932-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVOV, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "LEVIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "TREASURER, PELVOV, INC.",
        "authorized_official_telephone_number": "718-267-8063"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS BOARD OF PHARMACY",
            "identifier": "032268",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03957724",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.levis@titanrx.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3096 36th St",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111034705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chronos Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chronos 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 Jun 27, 2022; 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.