Avon Pharmacy & Surgical Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023172 Issued in NY

Legal business name

AVON PHARMACY & SURGICAL INC

Practice address

82 Graham Ave
Brooklyn, NY 11206-3311

Phone

(718) 384-0630

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alex MathewNPI 1851670525

Title

Pharmacist

Phone

(718) 384-0630

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practitioners 2

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

• Alex K Mathew

  • Pharmacist
  • Brooklyn, NY
  • NPI 1851670525
  NPD Authorized official
• Shaili Shah, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1376795039
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1720184500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063311",
            "telephone_number": "718-384-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063311",
            "telephone_number": "718-384-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON PHARMACY & SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-384-0630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01718381",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avk RX Inc
• Avl Podiatry PC
• Avm Chiropractic P.C.
• Dorit Avnir, LCAT
• Yael Avnon, PT, DPT
• Isaia Avraham, M.D.
• Ovadyah Avraham, PHARMD
• Galina Avrakh, RN
• David Keith Avram, MD
• Marc Robert Avram, MD

• 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 Mar 23, 2017; 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.