Park Avenue Chemists

Primary specialty

PharmacistTaxonomy code 183500000X

License

037972 Issued in NY

Legal business name

PARK AVENUE CHEMISTS

Doing business as

Boghen Pharmacy

Practice address

1080 Park Ave
New York, NY 10128-1167

Phone

(212) 289-5866

Fax

(212) 289-2005

NPI assigned

Sep 24, 2006

Last updated

Jun 27, 2008By 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

Mr. Joseph Gennardo, R.PH.

Title

Supervising Pharmacist

Phone

(212) 289-5866

Specialties & licenses 1

Addresses

Other names 1

• Boghen Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1669572186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281167",
            "telephone_number": "212-289-5866",
            "fax_number": "212-289-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281167",
            "telephone_number": "212-289-5866",
            "fax_number": "212-289-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE CHEMISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "GENNARDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-289-5866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boghen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.