Organization Active NPI

Madison RX 18 Inc.

Doing business as Madison Pharmacy

  • Community/Retail Pharmacy
  • Astoria, NY
National Provider Identifier
1609632132
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MADISON RX 18 INC.
Doing business as
Madison Pharmacy
madison rx 18
Practice address
4718 30TH Ave
Astoria, NY 11103-1266
Phone
(718) 806-1000
Fax
(718) 806-1115
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Dr. Moshe CohenNPI 1588154850
Title
Supervising Pharmacist
Phone
(718) 806-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4718 30TH Ave
Astoria, NY 11103-1266

Mailing address

4718 30TH Ave
Astoria, NY 11103-1266
Phone (718) 806-1000

Other names 2

  • MADISON PHARMACY Doing business as
  • madison rx 18 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240513001783 NY Part B Supplier - Pharmacy 7113368812 Practice locations: Astoria, NY
O20241030003131 NY DME Supplier - Pharmacy 7113368812 Practice locations: Astoria, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Madison RX 18 Inc.4718 30TH Ave, Astoria, NY 11103-1266(718) 806-1000 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 4, 2024

National Provider Directory

National Provider Directory

Locations

4718 30th Ave
Astoria, NY 11103
Phone (718) 806-1000

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": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1609632132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031266",
            "telephone_number": "718-806-1000",
            "fax_number": "718-806-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031266",
            "telephone_number": "718-806-1000",
            "fax_number": "718-806-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON RX 18 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-806-1000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "madison rx 18",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.