Nicholas Ave Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021646 Issued in NY

Legal business name

NICHOLAS AVE PHARMACY INC

Doing business as

Bellos Pharmacy

Practice address

179 Saint Nicholas Ave
Brooklyn, NY 11237-4441

Phone

(718) 456-1795

Fax

(718) 628-6741

NPI assigned

Jun 23, 2006

Last updated

Apr 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pramod Tanna

Title

Owner

Phone

(718) 456-1795

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BELLOS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

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.

• Pramodkumar Tanna, R.PH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1710200191
  NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1548296726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374441",
            "telephone_number": "718-456-1795",
            "fax_number": "718-456-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374441",
            "telephone_number": "718-456-1795",
            "fax_number": "718-628-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS AVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "TANNA",
        "authorized_official_first_name": "PRAMOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-456-1795"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01393851",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059781",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLOS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nice & Healthy Fitness Inc.
• Nice Eye Care Optometry PC
• Nicola Niceforo, RPH
• Kelly Niceley
• Rhea Anil Nichani
• Janelle Nicholas Forestine, SOLE PROPRIETOR
• Nicholas P. Roussis, M.D., P.C.
• Nicholas V Tornatore Mental Health Counselor PC
• Hilari Nicholas-Simon
• Celine Nicholas

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Apr 5, 2017; 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.