18TH Avenue Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027708 Issued in NY

Legal business name

18TH AVENUE DRUG STORE INC

Doing business as

RX World Pharmacy

Practice address

8110 18TH Ave
Brooklyn, NY 11214-2201

Phone

(718) 232-5566

Fax

(718) 232-5255

NPI assigned

Jul 30, 2006

Last updated

Mar 1, 2010By 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

Marat BlustinNPI 1154596070

Title

Owner/Sec

Phone

(917) 922-3204

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RX WORLD PHARMACY Doing business as

Practitioners 1

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.

• Marat Blustin, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1154596070
  Authorized official Same address or phone

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1821003476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142201",
            "telephone_number": "718-232-5566",
            "fax_number": "718-232-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142201",
            "telephone_number": "718-232-5566",
            "fax_number": "718-232-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "18TH AVENUE DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "BLUSTIN",
        "authorized_official_first_name": "MARAT",
        "authorized_official_title_or_position": "OWNER/SEC",
        "authorized_official_telephone_number": "917-922-3204"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02673256",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3351044",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX WORLD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Mar 1, 2010; 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.