Active NPI
Parvjayron Corp
Doing business as Andy Pharmacy II
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1770736027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 029148
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keyur Shah
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2118121 | Other | PK | |
| 03035178 | Medicaid | NY |
Other names 1
- Andy Pharmacy II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Jamaica, NY
- NPI 1093875064
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.