Third Avenue Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029197 Issued in NY

Legal business name

THIRD AVENUE DRUG CORP

Practice address

1449 1St Ave
New York, NY 10021-3002

Phone

(212) 535-7100

Fax

(212) 535-7101

NPI assigned

Oct 9, 2008

Organization subpart

No

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

Authorized official

Name

Jeanette Rivera

Title

President

Phone

(212) 535-7100

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Rainbow Pharmacy Doing business as

Locations

Practitioners 5

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

• Jeffrey Cerny

  • Pharmacist
  • New York, NY
  • NPI 1336464585
  NPD (past)
• Eugene Fais, RPH

  • Pharmacist
  • New York, NY
  • NPI 1811201627
  NPD (past)
• Esther H Park

  • Pharmacist
  • New York, NY
  • NPI 1396018743
  NPD (past)
• Nina Sonbolian, PHARMD

  • Pharmacist
  • New York, NY
  • NPI 1164741203
  NPD (past)
• Nitsa Shimoni, RPH

  • Pharmacist
  • Wellington, FL
  • NPI 1932350162
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1780835629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213002",
            "telephone_number": "212-535-7100",
            "fax_number": "212-535-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD AVENUE DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-535-7100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029197",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3359292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa Thio, L.AC.
• Sengaroun Thipphavong, M.D.
• Third Ave Apothecary Inc
• Third Ave Optical Center
• Third Ave Pediatric Care P.C.
• Third Avenue Gastroenterology, P.C.
• Third Avenue Lerman Pharmaceutics Inc
• Third Avenue Pharmacy & Surgical Inc.
• Third Ear Psychology PC
• Third Eye Acupuncture P.C.

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Jun 17, 2009; 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.