Drug Store Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024721 Issued in NY

Legal business name

DRUG STORE INCORPORATED

Practice address

2204 Victory Blvd
Staten Island, NY 10314-6624

Phone

(718) 982-9438

Fax

(718) 698-8978

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Avicolli, R.PH

Title

Pharmacist Co Owner

Phone

(718) 982-9438

Specialties & licenses 1

Addresses

Other names 1

• VICTORY DRUGS Doing business as

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962543215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146624",
            "telephone_number": "718-982-9438",
            "fax_number": "718-698-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146624",
            "telephone_number": "718-982-9438",
            "fax_number": "718-698-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG STORE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVICOLLI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHARMACIST CO OWNER",
        "authorized_official_telephone_number": "718-982-9438",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORY DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DRS. Alterman & Gerstman, PLLC
• DRS. Robert H Adler & Thomas D'Augusta D.D.S.
• David A Drucker, MD
• Perry Dean Drucker, MD
• Philip M. Drucker, PH.D.
• Christina A Du Britz
• Duane Reade
• Duane Reade
• Duane Reade
• Duane Reade

• 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 Aug 22, 2020; 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.