NPIMap

Organization Active NPI

Dragonfly Health RX Ny, LLC

Doing business as Avanti Health Care Services

  • Long Term Care Pharmacy
  • New Hyde Park, NY
National Provider Identifier
1639165459
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DRAGONFLY HEALTH RX NY, LLC
Doing business as
Avanti Health Care Services
Practice address
75 Nassau Terminal Rd Ste 101
New Hyde Park, NY 11040-4927
Phone
(516) 280-1000
Fax
(516) 280-1075
NPI assigned
Sep 27, 2005
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Mr. Elliot Amundson
Title
Chief Financial Officer
Phone
(612) 723-6687

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 023601 NY
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

75 Nassau Terminal Rd Ste 101
New Hyde Park, NY 11040-4927

Mailing address

1601 Cherry St Ste 1800
Philadelphia, PA 19102-1314
Phone (732) 996-1187

Other identifiers 1

IdentifierTypeStateIssuer
03009794MedicaidNY

Other names 1

  • Avanti Health Care Services Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930090275 NY DME Supplier - Pharmacy 1355252586 1 other NPI on this enrollment
Practice locations: New Hyde Park, NY
O20221021000392 NY Part B Supplier - Pharmacy 1355252586 Practice locations: New Hyde Park, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Alexander Infusion LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

75 Nassau Terminal Rd
New Hyde Park, NY 11040
Phone (516) 280-1000

Practitioners & affiliated clinicians

Practitioners 9

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": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1639165459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST STE 1800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021314",
            "telephone_number": "732-996-1187",
            "fax_number": "215-282-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NASSAU TERMINAL RD STE 101",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404927",
            "telephone_number": "516-280-1000",
            "fax_number": "516-280-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY HEALTH RX NY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "612-723-6687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023601",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03009794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avanti Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.