Austra Line Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027830 Issued in NY

Legal business name

AUSTRA LINE PHARMACY INC.

Doing business as

Austra Line Pharmacy Inc

Practice address

5916 Glenwood Rd
Brooklyn, NY 11234-1817

Phone

(718) 531-6000

Fax

(718) 531-6004

NPI assigned

Aug 18, 2006

Last updated

Feb 20, 2017By 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

Chinedu Agbasionwe, RPH

Title

President

Phone

(718) 531-6000

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• AUSTRA LINE PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Tax ID family

Austra Line Pharmacy Inc2 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.

• Austra Line Pharmacy Inc

  • Pharmacist
  • Brooklyn, NY
  • NPI 1437254844
  NPD tax ID

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.

• Ngozi Geraldene Agbasionwe, PHARM.D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1679822738
  NPD (past)
• Pius Iwegbunem Agbasionwe, BPHARM

  • Pharmacist
  • Brooklyn, NY
  • NPI 1639355829
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1821102716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341817",
            "telephone_number": "718-531-6000",
            "fax_number": "718-531-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341817",
            "telephone_number": "718-531-6000",
            "fax_number": "718-531-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTRA LINE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "AGBASIONWE",
        "authorized_official_first_name": "CHINEDU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-531-6000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027830",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2858006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068227",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUSTRA LINE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhomona J Austin
• Sakinah Austin, LMSW
• Yessenia Anabel Austin, DDS
• Larysa Austova, MSED
• Austra Line Pharmacy Inc
• Jophel Lynn Austria, PT
• Jonathan H Ausubel, PSY.D.
• Paul Anthony Auteri, M.D.
• Authentique Mental Health Counseling PLLC
• Authority Speaking, LLC (NY Wellness)

• 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 Feb 20, 2017; 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.