AVICENNARX LLC (NPI# 1578093621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578093621 |
| Entity Type | Organization |
| Organization Name | AVICENNARX LLC |
| Other Organization Name | CROWN PHARMACY |
| Practice Address |
66 Deer Shore Sq North Babylon NY 11703-1207 |
| Practice Telephone | (631) 940-5555 |
| Practice Fax Number | 6319405656 |
| Mailing Telephone | 6319405555 |
| Mailing Fax Number | 6319405656 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | DAVID AZIZ (MEMBER) |
| Authorized Official Telephone | 6319405555 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Crown Pharmacy | Doing Business As Name - Organization |
| Street Address |
66 DEER SHORE SQ |
| City | NORTH BABYLON |
| State | NY |
| Zip Code | 11703-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417457987 | Nicholas Richard Sutherland | Pharmacist | 66 Deer Shore Sq, North Babylon, NY 11703-1207 | 2018-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405980 | Esther Williams Ekanem | Counselor | 391 Nelligan Ct, North Babylon, NY 11703 | 2018-11-10 |
| 1063968782 | Kimberly Myers | Speech-Language Pathologist | 523 Polaris Street, North Babylon, NY 11703 | 2016-09-01 |
| 1760830749 | Christian Nursing Registry | Nursing Care | 11 Faulkner Ave, North Babylon, NY 11703 | 2016-05-31 |
| 1932475308 | Michael Henry Polcino | Surgery | 796 Deep Park Avenue, North Babylon, NY 11703 | 2012-03-29 |
| 1801175468 | Jean Emelda Swan | Registered Nurse | 619 Mount Avenue, North Babylon, NY 11703 | 2011-08-12 |
| 1124354303 | Kim Shek | Registered Nurse | 134 Colonial Road, North Babylon, NY 11703 | 2009-10-23 |
| 1861633398 | Christine Ann Hedley | Registered Nurse | 91 East Shore Drive, Babylon, NY 11703 | 2009-03-12 |
| 1720232788 | Muriel Ellen Mccleave | Registered Nurse | 746 Deer Park Ave., No. Babylon, NY 11703 | 2008-11-04 |
| 1467625624 | Kathleen Uzzi Jeremiah | Nurse Practitioner | 1486 Deer Park, Unit A, North Babylon, NY 11703 | 2008-04-09 |
| 1992864938 | Jason B Hitner | Pediatrics | 925 Deer Park Ave, North Babylon, NY 11703 | 2006-12-06 |
| Find all providers in zip 11703 | ||||
| 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 |
|---|---|---|---|---|
| 1861945891 | Sarvin Drugs Inc | Pharmacy | 1155 Deer Park Ave, North Babylon, NY 11703-3105 | 2016-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BABYLON |
| Zip Code | 11703 |
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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.