Avenue Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

021180 Issued in NY

Legal business name

AVENUE PHARMACY INC.

Practice address

1215 40TH Ave
Long Island City, NY 11101-6107

Phone

(718) 361-0436

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By 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

Mrs. Iffat Rizvi

Title

Pharmacist

Phone

(718) 361-0436

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548307861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 40TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 40TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016107",
            "telephone_number": "718-361-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "IFFAT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-361-0436",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "021180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01287636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.