Ave J Royal Care Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

030417 Issued in NY

Legal business name

AVE J ROYAL CARE PHARMACY LLC

Practice address

1315 Avenue J
Brooklyn, NY 11230-3605

Phone

(718) 253-1030

Fax

(718) 676-2665

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Salim Faour

Title

Manager

Phone

(917) 442-2705

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ave J Royal Care Pharmacy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Tax ID family

Ave J Royal Care Pharmacy LLC2 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.

• Ave J Royal Care Pharmacy LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1528898384
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ave J Royal Care Pharmacy LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1528898384
  NPPES parent name

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1831409697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303605",
            "telephone_number": "718-253-1030",
            "fax_number": "718-676-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303605",
            "telephone_number": "718-253-1030",
            "fax_number": "718-676-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVE J ROYAL CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "FAOUR",
        "authorized_official_first_name": "SALIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-442-2705"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "030417",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3303211",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ave J Royal Care Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatyana Avdeychik, DDS
• Yevgeny Avdeychik, DDS
• Majlinda Avdiu, DC
• Ave J Medical PC
• Ave J Royal Care Pharmacy LLC
• Ave M Chemist LLC
• Ave M Pharmacy Corp.
• Ave O Pharmacy Corp
• Ave P Medical PC
• Ave R Pharmacy Inc

• All providers in Brooklyn, NY
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.