MEDICARE: AVENUE V PRESCRIPTIONS 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	3336C0003X	Community/Retail Pharmacy	018549	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	:	1649331414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVENUE V PRESCRIPTIONS INC

Provider Business Mailing Address
First Line	:	3031 AVENUE V
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5448
Country	:	US
Telephone Number	:	718-891-4103
Fax Number	:	718-891-4224

Provider Business Practice Location Address
First Line	:	3031 AVENUE V
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5448
Country	:	US
Telephone Number	:	718-891-4103
Fax Number	:	718-891-4224

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BARRY D SCHWARTZ
Credential	:	R. PH.
Telephone Number	:	718-891-4103

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	08/22/2020

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Directions to “AVENUE V PRESCRIPTIONS INC ” Practice Location

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