Health Max 5TH Avenue Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

025460 Issued in NY

Legal business name

HEALTH MAX 5TH AVENUE INC.

Practice address

53-13 5TH Ave
Brooklyn, NY 11220-3110

Phone

(718) 567-8000

Fax

(718) 765-9056

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Michael Rezhets

Title

Owner

Phone

(718) 567-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Health Max Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 5

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

• Khrystyna Andriychuk

  • Pharmacist
  • Brooklyn, NY
  • NPI 1881491470
  NPD (past)
• Marta Mariya Antonyuk, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1811531734
  NPD (past)
• Larissa Rezhets, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1366750911
  NPD (past)
• Inna Rutkovska, PHARMACIST

  • Pharmacist
  • Brooklyn, NY
  • NPI 1578125902
  NPD (past)
• Svetlana Stein, PHARM.D.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1144538315
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1770637134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53-13 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203110",
            "telephone_number": "718-567-8000",
            "fax_number": "718-765-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53-13 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203110",
            "telephone_number": "718-567-8000",
            "fax_number": "718-765-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MAX 5TH AVENUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "REZHETS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-567-8000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "025460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02349879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Max Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.