York Avenue Apothecary LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

YORK AVENUE APOTHECARY LLC

Practice address

1631 York Ave
New York, NY 10028-6291

Phone

(212) 737-8800

NPI assigned

Jul 22, 2019

Organization subpart

No

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

Authorized official

Name

Ilana Aminov

Title

Supervising Pharmacist

Phone

(212) 737-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Drug Mart Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Tax ID family

Drug Mart2 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.

• York Avenue Apothecary LLC

  • Long Term Care Pharmacy
  • New York, NY
  • NPI 1568039998
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilana Yagudayev, R.PH.

  • Pharmacist
  • New York, NY
  • NPI 1922262690
  NPD

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1700439411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286291",
            "telephone_number": "212-737-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286291",
            "telephone_number": "212-737-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK AVENUE APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "AMINOV",
        "authorized_official_first_name": "ILANA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-737-8800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3338060",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drugmart86@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Drug Mart",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1631 York Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100286291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yaelle Yoran, LCSW
• Scott Timothy Yorg, CRPA, CASAC-T
• Yorganic Pharmacy Inc
• York Anesthesiologists PLLC
• York Avenue Apothecary LLC
• York Avenue Gastro Obs Associates, PC
• York Avenue Medical Services, P.C.
• York Avenue Medical Services, PC
• York Comprehensive Medical PLLC
• York Dental PC

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Jul 22, 2019; 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.