Pramukh Drugs Corp

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PRAMUKH DRUGS CORP

Practice address

6562 Myrtle Avenue
Glendale, NY 11385

Phone

(347) 227-8188

Fax

(347) 227-8402

NPI assigned

Nov 15, 2012

Organization subpart

No

Name

Mrs. Gloria M Avila

Title

President-Owner

Phone

(347) 227-8188

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

• Victor Huang, PHARMD

  • Pharmacist
  • Glendale, NY
  • NPI 1033726997
  NPD
• Piyush R Patel, RPH

  • Pharmacist
  • Glendale, NY
  • NPI 1740457779
  NPD (past)
• Sejal P Patel, RPH

  • Pharmacist
  • Glendale, NY
  • NPI 1326587999
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

• MYRTLE DRUGMART Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2023.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1447594429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6562 MYRTLE AVENUE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "347-227-8188",
            "fax_number": "347-227-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6562 MYRTLE AVENUE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "347-227-8188",
            "fax_number": "347-227-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMUKH DRUGS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "347-227-8188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031692",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138720",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03521708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MYRTLE DRUGMART",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MYRTLE DRUGMART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter L. Menger, M.D., P.C.
• Alcia Peterkin, LCSW
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• All providers in Glendale, NY
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.