Second Ave Chemists Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

004177 Issued in NY

Legal business name

SECOND AVE CHEMISTS INC

Practice address

101 2ND Ave
New York, NY 10003-8334

Phone

(212) 473-1587

Fax

(212) 420-1684

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Carmine PalermoNPI 1932421146

Title

President

Phone

(212) 473-1587

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Block Drug Stores Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Carmine J Palermo, RPH

  • Pharmacist
  • New York, NY
  • NPI 1932421146
  NPD Authorized official
• Beth Palermo

  • Pharmacist
  • New York, NY
  • NPI 1992027114
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1396834941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100038334",
            "telephone_number": "212-473-1587",
            "fax_number": "212-420-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100038334",
            "telephone_number": "212-473-1587",
            "fax_number": "212-420-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND AVE CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "PALERMO",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-473-1587"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "004177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02196303",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059579",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Block Drug Stores",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regine Anna Seckinger, PH.D.
• Tracy Seckler
• Alexandra Seclow
• Jamie Elizabeth Secol, LCSW
• Stephanie Secolsky, PH. D.
• Second Ave Chemists Inc.
• Second Ave Pharmacy Inc
• Second Family
• Melissa Feldmann Secrest, L.C.S.W.
• Cristi Joy Secretario

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.