Organization Active NPI

Avenue Chemists Inc

  • Community/Retail Pharmacy
  • Astoria, NY
National Provider Identifier
1801178702
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031002 Issued in NY
Legal business name
AVENUE CHEMISTS INC
Practice address
4501 30TH Ave
Astoria, NY 11103-1261
Phone
(718) 545-1010
Fax
(718) 545-1542
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Stellamaria VikatosNPI 1093037186
Title
Pharmacist
Phone
(718) 545-1010

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)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031002 NY Primary

Addresses

Primary practice location

4501 30TH Ave
Astoria, NY 11103-1261

Mailing address

4501 30TH Ave
Astoria, NY 11103-1261
Phone (718) 545-1010

Other identifiers 2

IdentifierTypeStateIssuer
2133901OtherPK
3461869MedicaidNY

Other names 1

  • AVENUE CHEMISTS INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120706000573 NY DME Supplier - Pharmacy 7113182684 Practice locations: Astoria, NY
O20210226002116 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7113182684 Practice locations: Astoria, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Avenue Chemists4501 30TH Ave, Astoria, NY 11103-1261(718) 545-1010 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 26, 2021

National Provider Directory

National Provider Directory

Locations

4501 30th Ave
Astoria, NY 11103
Phone (718) 545-1010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1801178702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031261",
            "telephone_number": "718-545-1010",
            "fax_number": "718-545-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031261",
            "telephone_number": "718-545-1010",
            "fax_number": "718-545-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "VIKATOS",
        "authorized_official_first_name": "STELLAMARIA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-545-1010"
    },
    "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": "031002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3461869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVENUE CHEMISTS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.