Organization Active NPI

Avalon Pharmacy Inc

Doing business as Avalon Chemists

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1629305800
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029728 Issued in NY
Legal business name
AVALON PHARMACY INC
Doing business as
Avalon Chemists
Practice address
7 2ND Ave
New York, NY 10003-8674
Phone
(212) 260-3131
Fax
(212) 260-3155
NPI assigned
Nov 10, 2009
Last updated
May 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Calvin L MoyNPI 1497980197
Title
President
Phone
(212) 260-3131

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 029728 NY Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

7 2ND Ave
New York, NY 10003-8674

Mailing address

7 2ND Ave
New York, NY 10003-8674
Phone (212) 260-3131

Other identifiers 2

IdentifierTypeStateIssuer
3363203OtherNCPDP PROVIDER IDENTIFICATION NUMBER
3158472MedicaidNY

Other names 1

  • Avalon Chemists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930022455 NY DME Supplier - Pharmacy 4981894979 Practice locations: New York, 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
Avalon Pharmacy7 2ND Ave, New York, NY 10003-8674(212) 260-3131 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|Walkers|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Dec 7, 2009

National Provider Directory

National Provider Directory

Locations

7 2nd Ave
Frnt
New York, NY 10003
Phone (212) 260-3131

Practitioners & affiliated clinicians

Practitioners 4

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": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1629305800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100038674",
            "telephone_number": "212-260-3131",
            "fax_number": "212-260-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100038674",
            "telephone_number": "212-260-3131",
            "fax_number": "212-260-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-260-3131"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029728",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3363203",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3158472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Chemists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avalon Chemists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.