Organization Active NPI

Parvjayron Corp

Doing business as Andy Pharmacy II

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1770736027
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029148 Issued in NY
Legal business name
PARVJAYRON CORP
Doing business as
Andy Pharmacy II
Practice address
1341 Saint Nicholas Ave
New York, NY 10033-7236
Phone
(212) 795-3033
Fax
(212) 795-3036
NPI assigned
Oct 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Keyur ShahNPI 1093875064
Title
SP, Pic
Phone
(212) 795-3033

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
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 029148 NY Primary

Addresses

Primary practice location

1341 Saint Nicholas Ave
New York, NY 10033-7236

Mailing address

1341 Saint Nicholas Ave
New York, NY 10033-7236
Phone (212) 795-3033

Other identifiers 2

IdentifierTypeStateIssuer
2118121OtherPK
03035178MedicaidNY

Other names 1

  • Andy Pharmacy II Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930086483 NY DME Supplier - Pharmacy 4789881715 Practice locations: New York, NY
O20201229002842 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4789881715 Practice locations: New York, NY
O20240314003488 NY Part B Supplier - Pharmacy 4789881715 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

1329 Saint Nicholas Ave
New York, NY 10033
Phone (212) 795-3033

Practitioners & affiliated clinicians

Practitioners 1

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": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1770736027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337236",
            "telephone_number": "212-795-3033",
            "fax_number": "212-795-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337236",
            "telephone_number": "212-795-3033",
            "fax_number": "212-795-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARVJAYRON CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KEYUR",
        "authorized_official_title_or_position": "SP, PIC",
        "authorized_official_telephone_number": "212-795-3033"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118121",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03035178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andy Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 6, 2014; 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.