Triboro Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031263 Issued in NY

Legal business name

TRIBORO PHARMACY

Practice address

3720 Ditmars Blvd
Astoria, NY 11105-1841

Phone

(718) 777-7033

Fax

(718) 777-7038

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

John Athanasatos, RPH

Title

Owner/Supervising Pharmacist

Phone

(917) 865-7754

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Triboro Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1770858680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051841",
            "telephone_number": "718-777-7033",
            "fax_number": "718-777-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051841",
            "telephone_number": "718-777-7033",
            "fax_number": "718-777-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBORO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "ATHANASATOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "917-865-7754",
        "authorized_official_credential": "RPH"
    },
    "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": "031263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03455465",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triboro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian M Torigian, RPA-C
• Steven Touliopoulos, MD
• Joanna Toussaint, NP
• Kruno Tovilo, DMD
• Transitions
• Triboro Physical Therapy, PLLC
• Georgia Trimikliniotis
• Mansi Trivedi
• Rebecca Trojic, MD
• Emmanuel Frank Troulakis

• Community/Retail Pharmacy in Astoria, NY
• Providers in Astoria, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.