Organization Active NPI

New London Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1740367564
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8530 Issued in NY
Legal business name
NEW LONDON PHARMACY INC
Practice address
241 W 23Rd St
New York, NY 10011-2320
Phone
(212) 243-4987
Fax
(212) 243-7110
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Avgerini Mouzakitis-FazioNPI 1649544297
Title
Supervising Pharmacist and Owner
Phone
(212) 243-4987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8530 NY Primary
Compounding Pharmacy 3336C0004X 8530 NY

Addresses

Primary practice location

241 W 23Rd St
New York, NY 10011-2320

Mailing address

241 W 23Rd St
New York, NY 10011-2320
Phone (212) 243-4987

Other identifiers 3

IdentifierTypeStateIssuer
008530OtherNYLIC NUMBER
00259045MedicaidNY
3354432OtherNYNABP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121031000546 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0042339095 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

246 8th Ave
New York, NY 10011
Phone (212) 243-4987

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1740367564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112320",
            "telephone_number": "212-243-4987",
            "fax_number": "212-243-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112320",
            "telephone_number": "212-243-4987",
            "fax_number": "212-243-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LONDON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "MOUZAKITIS-FAZIO",
        "authorized_official_first_name": "AVGERINI",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "212-243-4987"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "8530",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "8530",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NUMBER",
            "identifier": "008530",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00259045",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3354432",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.