AVENUE HEALTHCARE ENTERPRISES INC (NPI# 1336467836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336467836 |
| Entity Type | Organization |
| Organization Name | AVENUE HEALTHCARE ENTERPRISES INC |
| Other Organization Name | AVENUE PHARMACY |
| Practice Address |
1111 Avenue of The States Store #2 Chester PA 19013 |
| Mailing Address |
1111 Avenue of The States Chester PA 19013 |
| Practice Telephone | 4848160344 |
| Practice Fax Number | 4848160296 |
| Mailing Telephone | 4848160344 |
| Mailing Fax Number | 4848160296 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | MR. KAYODE EBED-MELECH BALOGUN SR. (PRESIDENT/CEO) |
| Authorized Official Telephone | 4848160344 |
| Authorized Official Credential | R.PH, M.SC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PHARMACY | 333600000X | 01 |
| Other Name | Type Code |
|---|---|
| Avenue Pharmacy | Doing Business As Name - Organization |
| Street Address |
1111 AVENUE OF THE STATES STORE #2 |
| City | CHESTER |
| State | PA |
| Zip Code | 19013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407312283 | Dentaltown. LLC | Clinic/Center | 1111 Avenue of The States, Chester, PA 19013-5967 | 2019-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906903 | Phv Llv | Pharmacy | 1645 J A Cochran Byp Ste G, Chester, SC 29706-3102 | 2019-05-08 |
| 1164992921 | Chester Community Pharmacy Inc | Pharmacy | 2709 W 9th St, Chester, PA 19013-2116 | 2018-12-04 |
| 1013432673 | Chester Discount Pharmacy | Pharmacy | 3107 W 9th St, Chester, PA 19013-1716 | 2017-08-04 |
| 1083156863 | Davis Brothers Pharmacy Inc | Pharmacy | 559 Carolina Ave Ste B, Chester, WV 26034-1364 | 2016-11-10 |
| 1114021870 | Cvs Albany LLC | Pharmacy | 72 Brookside Ave, Chester, NY 10918-1070 | 2006-09-12 |
| 1194730150 | Walgreen Co | Pharmacy | 4238 W Hundred Rd, Chester, VA 23831-1505 | 2006-07-29 |
| 1982933263 | Community Medicine Foundation | Pharmacy | 102 Cestrain Sq, Chester, SC 29706-1978 | 2009-12-15 |
| 1245497361 | Crozer Chester Med Ctr Pharmacy | Pharmacy | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.