Thriftway 10TH Ave Drug Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

028807 Issued in NY

Legal business name

THRIFTWAY 10TH AVE DRUG CORP

Doing business as

Thriftway Pharmacy

Practice address

646 10TH Ave
New York, NY 10036-2929

Phone

(212) 956-1100

Fax

(212) 956-1175

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alex Perchuk, RPH

Title

Corp. Secy

Phone

(718) 835-2000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Thriftway Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Thriftway 10TH Ave Drug Corp2 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.

• Thriftway 10TH Ave Drug Corp

  dba Thriftway Pharmacy (LTC)

  • Long Term Care Pharmacy
  • New York, NY
  • NPI 1780428284
  NPD tax ID

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1750554820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362929",
            "telephone_number": "212-956-1100",
            "fax_number": "212-956-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362929",
            "telephone_number": "212-956-1100",
            "fax_number": "212-956-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTWAY 10TH AVE DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "PERCHUK",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CORP. SECY",
        "authorized_official_telephone_number": "718-835-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "028807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "028807",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02967417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriftway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vaishnavi Thota
• Neha Thotakura, PA
• Anastasia Thran
• Linda Threatt, CASAC
• Three S Pharmacy Inc
• Thriftway 10TH Ave Drug Corp (Thriftway Pharmacy (LTC))
• Thriftway Beekman Drug Corp (Thriftway Pharmacy)
• Thriftway Beekman Pharmacy
• Thrive Integrated Physical Therapy, PC
• Thrive Physical and Occupational Therapy PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.