Todt Hill Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025261 Issued in NY

Legal business name

TODT HILL PHARMACY INC

Practice address

2110G Richmond Rd
Staten Island, NY 10306

Phone

(718) 351-7363

Fax

(718) 351-4972

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Khaim Avulov

Title

President

Phone

(718) 351-7363

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PHARMACY ON WHEELS Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Thomas Levatino, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1194542118
  NPD
• Regina Lakhter

  • Pharmacist
  • Staten Island, NY
  • NPI 1598933343
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1881763514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062576",
            "telephone_number": "718-351-7363",
            "fax_number": "718-351-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110G RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-351-7363",
            "fax_number": "718-351-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODT HILL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "AVULOV",
        "authorized_official_first_name": "KHAIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-351-7363"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025261",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02226979",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063869",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY ON WHEELS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHARMACY ON WHEELS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Todman, LCSW
• Aleksandra Todorova, MD
• Todt Hill Digestive Medical Disease, PC
• Todt Hill Endoscopy, P.C.
• Todt Hill Medical Group
• Todt Hill Urologic Group, P.C
• Rhinda Toe
• Korto Togba
• Allison Tohl
• Sara Tohme, RPH

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, 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 22, 2023; 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.