Laconia Avenue Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LACONIA AVENUE PHARMACY CORP

Practice address

4041 Laconia Ave
Bronx, NY 10466-4917

Phone

(347) 843-7747

Fax

(347) 843-7748

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Daniel Anokye

Title

Supervising Pharmacist

Phone

(917) 332-8533

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Laconia Avenue Pharmacy Corp Doing business as

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1881128569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 LACONIA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664917",
            "telephone_number": "347-843-7747",
            "fax_number": "347-843-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 LACONIA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664917",
            "telephone_number": "347-843-7747",
            "fax_number": "347-843-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACONIA AVENUE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "ANOKYE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "917-332-8533"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168990",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laconia Avenue Pharmacy Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Matthew Lacher, DPM
• Herbert M Lachman, MD
• Gayann Lackansingh, RN
• Vontrise Lacks, LMSW
• Jonathan Lacmanen
• Laconia Nursing Home Inc.
• Laconia Nursing Homes
• Edward Alexander Lacorte, O.D.
• Amy Uemura Lacount, MD
• Francois Lacour-Gayet, MD

• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.