Ava Kirellous LTD

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

AVA KIRELLOUS LTD

Doing business as

Wellness Pharmacy LTC

Practice address

144 W 72ND St
New York, NY 10023-3344

Phone

(212) 439-4718

Fax

(212) 439-4719

NPI assigned

Jul 12, 2024

Last updated

Jul 12, 2024By 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

David P SuNPI 1851818694

Title

Supervising Pharmacist

Phone

(212) 439-4718

Specialties & licenses 1

Addresses

Other names 1

• Wellness Pharmacy LTC 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.

• David P Su, PHARMD

  • Pharmacist
  • New York, NY
  • NPI 1851818694
  NPD Authorized official

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1841037165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233344",
            "telephone_number": "212-439-4718",
            "fax_number": "212-439-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA KIRELLOUS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-439-4718"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gordon Auyeung
• Kelsey Auyeung, MD
• Natina Siutim Auyeung, M.D., M.P.H.
• Fernandine Auzas, LMSW
• Ava Kirellous LTD (Wellness Pharmacy)
• Avag Medical PC
• Avail Medix LLC
• Vitaly Avakyan
• Anna Avaliani, M.D
• Alessandra Avallone

• Long Term Care Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.