PSK RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027162 Issued in NY

Legal business name

PSK RX INC

Doing business as

Third Avenue Pharmacy

Practice address

2700 3Rd Ave
Bronx, NY 10454

Phone

(718) 665-1410

Fax

(718) 665-5994

NPI assigned

Nov 7, 2006

Last updated

Mar 7, 2023By 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

Mr. Madhioli Swaminathan

Title

Supervising Pharmacist/Manager

Phone

(718) 665-1410

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Third Avenue Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1861561649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541103",
            "telephone_number": "718-665-1410",
            "fax_number": "718-665-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10454",
            "telephone_number": "718-665-1410",
            "fax_number": "718-665-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSK RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "SWAMINATHAN",
        "authorized_official_first_name": "MADHIOLI",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "718-665-1410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "027162",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02630679",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3322649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Third Avenue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Third Avenue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophia Antoinette Pryce
• Rosetta Pryor
• Michael B Prystowsky, MD,PH.D
• PSCH
• Kathy Psihas, DMD
• Florence Pua, M.D.
• Public Health Solutions (MIC Women's Health Services - Tremont)
• Greta Pucci, OD
• Rose Ann Puccio, M.S. CCC-SLP
• Tania Maribel Puchuela, OTR/L

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, 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 7, 2023; 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.