Organization Active NPI

Ava Kirellous LTD

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1407317753
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AVA KIRELLOUS LTD
Practice address
144 W 72ND St
New York, NY 10023-3344
Phone
(212) 875-1718
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Sherif Eltahawy, RPH
Title
Owner/President
Phone
(212) 875-1718

Specialties & licenses 1

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

Addresses

Primary practice location

144 W 72ND St
New York, NY 10023-3344

Mailing address

144 W 72ND St
New York, NY 10023-3344
Phone (212) 439-4718

Other names 1

  • WELLNESS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20191014002651 NY DME Supplier - Pharmacy 7214268754 Practice locations: New York, NY
O20200115002350 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7214268754 Practice locations: New York, NY
O20240528000920 NY Part B Supplier - Pharmacy 7214268754 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1407317753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233344",
            "telephone_number": "212-439-4718",
            "fax_number": "212-439-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233344",
            "telephone_number": "212-875-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA KIRELLOUS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "ELTAHAWY",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "212-875-1718",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.