MEDICARE: AVENUE PHARMACY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	021180	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548307861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVENUE PHARMACY INC.

Provider Business Mailing Address
First Line	:	1215 40TH AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-6107
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 40TH AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-6107
Country	:	US
Telephone Number	:	718-361-0436
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MRS. IFFAT RIZVI
Credential	:
Telephone Number	:	718-361-0436

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1578021341 — WILDFLOWER COUNSELING
Practice Location Address:

123 N LOCUST ST STE 201
GRAND ISLAND, NE
68801-6107

Practice Phone: 308-380-0027
Practice Fax:

1073370953 — RADIANT LIGHT HOME CARE LLP
Practice Location Address:

3184 ISLAND CLUB CT APT G
INDIANAPOLIS, IN
46214-6107

Practice Phone: 260-312-7251
Practice Fax:

1659110682 — LILIAN KUNGU
Practice Location Address:

6107 LINDEN AVE APT 8
LONG BEACH, CA
90805-2979

Practice Phone: 714-723-2870
Practice Fax:

1447074695 — ELIZABETH SUZANNE PRYBYLA NP
Practice Location Address:

40 HERMOSA AVE
LONG BEACH, CA
90802-6107

Practice Phone: 718-809-8964
Practice Fax:

1093916223 — KENNETH GRAHAM CRUTCHFIELD O.D.
Practice Location Address:

310 KENT ST
JEFFERSON CITY, MO
65109-6107

Practice Phone: 573-659-7363
Practice Fax:

1841445368 — DR. RANDALL L. EDWARDS
Practice Location Address:

1605 EGLIN ST , STE. 2
RAPID CITY, SD
57701-6107

Practice Phone: 605-341-6000
Practice Fax: 605-341-6001

Directions to “AVENUE PHARMACY INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.