Organization Active NPI

7TH Avenue Pharmacy Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1376940767
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033310 Issued in NY
Legal business name
7TH AVENUE PHARMACY INC.
Practice address
5412 7TH Ave
Brooklyn, NY 11220-3123
Phone
(718) 633-2299
Fax
(718) 633-2228
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Janice Wu, RPHNPI 1669880191
Title
Ceo
Phone
(718) 633-2299

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 033310 NY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

5412 7TH Ave
Brooklyn, NY 11220-3123

Mailing address

5412 7TH Ave
Brooklyn, NY 11220-3123
Phone (718) 633-2299

Other identifiers 1

IdentifierTypeStateIssuer
04120903MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150316000296 NY Part B Supplier - Pharmacy 7719204510 Practice locations: Brooklyn, NY
O20201216002714 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7719204510 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

5412 7th Ave
Brooklyn, NY 11220
Phone (718) 633-2299

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": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1376940767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203123",
            "telephone_number": "718-633-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203123",
            "telephone_number": "718-633-2299",
            "fax_number": "718-633-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "7TH AVENUE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-633-2299",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033310",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04120903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.