Second Ave Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026821 Issued in NY

Legal business name

SECOND AVE PHARMACY INC

Doing business as

Second Ave Pharmacy Inc

Practice address

249 E 115TH St
New York, NY 10029-2130

Phone

(212) 876-8300

Fax

(212) 876-5280

NPI assigned

Oct 20, 2006

Last updated

Jul 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Venkata Dondapati, RPHNPI 1346425972

Title

Partner and Supervising Phcst

Phone

(212) 876-8300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SECOND AVE PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Venkata Rajesh Dondapati

  • Pharmacist
  • New York, NY
  • NPI 1346425972
  NPD Authorized official
• Veer R Pilla

  • Pharmacist
  • New York, NY
  • NPI 1730431974
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1790867588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E 115TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292130",
            "telephone_number": "212-876-8300",
            "fax_number": "212-876-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E 115TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292130",
            "telephone_number": "212-876-8300",
            "fax_number": "212-876-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND AVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "DONDAPATI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "PARTNER AND SUPERVISING PHCST",
        "authorized_official_telephone_number": "212-876-8300",
        "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": "026821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062983",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02590632",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SECOND AVE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Seclow
• Jamie Elizabeth Secol, LCSW
• Stephanie Secolsky, PH. D.
• Second Ave Chemists Inc (Block Drug Stores)
• Second Ave Chemists Inc. (Block's Vision Care)
• Second Family
• Melissa Feldmann Secrest, L.C.S.W.
• Cristi Joy Secretario
• Jonathan Secreto
• Angelia Seda, PA-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 Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.