Bath Ave Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BATH AVE PHARMACY INC

Practice address

2109 Bath Aven
Brooklyn, NY 11214-4907

Phone

(347) 673-5314

Fax

(347) 673-5315

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Chaudhry J Ahmad

Title

President

Phone

(347) 673-5314

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1629604475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 BATH AVEN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144907",
            "telephone_number": "347-673-5314",
            "fax_number": "347-673-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 BATH AVEN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144907",
            "telephone_number": "347-673-5314",
            "fax_number": "347-673-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATH AVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "CHAUDHRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-673-5314"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Bates, M.A.,CCC-SLP
• Hisla Bates, M.D.
• Karen J Bates
• Bath Ave Care Inc
• Bath Ave Medical Supply LLC
• Bath Beach Medical, PC
• Bath Medical, P.C.
• Amrita Batheja, D.D.S.
• Roma Madan Batheja, MD
• Marilyn Bathersfield

• 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 Jun 11, 2020; 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.