Organization Active NPI

Yasik 2 Inc

Doing business as Avonora Pharmacy

  • Pharmacy
  • Ridgewood, NY
National Provider Identifier
1437692134
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
YASIK 2 INC
Doing business as
Avonora Pharmacy
Ridgewood Pharmacy Express
Practice address
5456 Myrtle Ave
Ridgewood, NY 11385-3453
Phone
(718) 366-6900
Fax
(718) 366-6901
NPI assigned
Nov 29, 2016
Last updated
Jun 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Authorized official

Name
Yana Aronov
Title
President
Phone
(718) 366-6900

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

5456 Myrtle Ave
Ridgewood, NY 11385-3453

Mailing address

5456 Myrtle Ave
Ridgewood, NY 11385-3453
Phone (718) 366-6900

Other names 2

  • AVONORA PHARMACY Doing business as
  • RIDGEWOOD PHARMACY EXPRESS Doing business as

National Provider Directory

National Provider Directory

Locations

5456 Myrtle Ave
Ridgewood, NY 11385
Phone (718) 366-6900

5456 Myrtle Ave
#A
Ridgewood, NY 11385
Phone (718) 366-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496361600000",
    "number": "1437692134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853453",
            "telephone_number": "718-366-6900",
            "fax_number": "718-366-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853453",
            "telephone_number": "718-366-6900",
            "fax_number": "718-366-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASIK 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2017-06-02",
        "status": "A",
        "authorized_official_last_name": "ARONOV",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-366-6900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVONORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RIDGEWOOD PHARMACY EXPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.