Organization Active NPI

Thriftway 10TH Ave Drug Corp

  • Long Term Care Pharmacy
  • New York, NY
National Provider Identifier
1780428284
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
THRIFTWAY 10TH AVE DRUG CORP
Practice address
646 10TH Ave
New York, NY 10036-2929
Phone
(212) 956-1100
Fax
(212) 956-1175
NPI assigned
Jun 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Alex Perchuk
Title
Co-Owner
Phone
(718) 835-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

646 10TH Ave
New York, NY 10036-2929

Mailing address

646 10TH Ave
New York, NY 10036-2929
Phone (212) 956-1100

Other names 1

  • THRIFTWAY PHARMACY (LTC) Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1780428284",
    "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": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "PERCHUK",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "718-835-2000"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THRIFTWAY PHARMACY (LTC)",
            "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 Jun 20, 2024; 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.