PSK RX INC (NPI# 1861561649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861561649 |
| Entity Type | Organization |
| Organization Name | PSK RX INC |
| Other Organization Name | THIRD AVENUE PHARMACY |
| Practice Address |
2700 3rd Ave Bronx NY 10454 |
| Mailing Address |
2700 3rd Ave Bronx NY 10454-1103 |
| Practice Telephone | 7186651410 |
| Practice Fax Number | 7186655994 |
| Mailing Telephone | 7186651410 |
| Mailing Fax Number | 7186655994 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | MR. RAM NERAVETLA (PHARMACY MANAGER) |
| Authorized Official Telephone | 7186651410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
027162 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NABP NUMBER | 3322649 | 01 |
| NY | DEA LICENSE | BP9299086 | 01 |
| NY | STATE LICENSE | 027162 | 01 |
| NY | 02630679 | 05 |
| Other Name | Type Code |
|---|---|
| Third Avenue Pharmacy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2702 3rd Ave, Bronx, NY 104541103 | 7186651410 | 7186655994 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PSK RX INC. | 2702 3rd Ave, Bronx, Ny 10454 |
| Street Address |
2700 3RD AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679044762 | Roland Koduah | Pharmacist | 537-539 East 138th Street, Bronx, NY 10454 | 2018-12-16 |
| 1407369416 | Noor Kazi LLC | Psychiatry & Neurology | 679 East 138 Street, Bronx, Fl.1, Bronx, NY 10454 | 2017-11-13 |
| 1982122628 | Jacob Mauro Dominguez | Licensed Practical Nurse | 223 Brook Av, Bronx, NY 10454 | 2017-09-01 |
| 1730618182 | Geanell Compton | Speech-Language Pathologist | 345 Brook Avenue, Bronx, NY 10454 | 2017-06-08 |
| 1285084053 | Everlaines Chapman Viltres | Registered Nurse | 426 E 141st St Apt 2, Bronx, NY 10454 | 2016-06-13 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1073904975 | Alexis Acevedo | Counselor | 14 Bruckner Blvd Ste 3e, Bronx, NY 10454 | 2015-02-12 |
| 1609266949 | Andira Pena | Licensed Practical Nurse | 803 East 138th Street, Bronx, NY 10454 | 2015-01-26 |
| 1154675833 | Niki Patel | Occupational Therapist | 468 East 140th Street, Bronx, NY 10454 | 2012-11-02 |
| 1851697395 | New Superior Radio Group, Corp. | Taxi | 133 Lincoln Avenue, Bronx, NY 10454 | 2011-02-01 |
| Find all providers in zip 10454 | ||||
| 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 |
|---|---|---|---|---|
| 1205449444 | 167 Rx Inc | Pharmacy | 55 E 167th St, Bronx, NY 10452-8206 | 2020-08-27 |
| 1497366025 | Sobro Pharmacy Inc. | Pharmacy | 2550 3rd Ave, Bronx, NY 10454-1261 | 2020-08-17 |
| 1548871684 | S&n Nyc Inc | Pharmacy | 938 E Gun Hill Rd, Bronx, NY 10469-3708 | 2020-08-12 |
| 1790395754 | Bronx Chemists Rx Inc | Pharmacy | 1764 E 174th St, Bronx, NY 10472-1842 | 2020-08-05 |
| 1255964904 | Zahid Khan | Pharmacy | 1160 E Tremont Ave, Bronx, NY 10460-2452 | 2020-02-20 |
| 1568002756 | Edenwald Pharmacy Inc. | Pharmacy | 4137 Laconia Ave, Bronx, NY 10466 | 2020-01-15 |
| 1548806243 | Insta Drugs Inc | Pharmacy | 584a E 187th St, Bronx, NY 10458-6702 | 2019-11-18 |
| 1730724691 | Lpj Rx Inc | Pharmacy | 209 E 165th St, Bronx, NY 10456-6017 | 2019-11-14 |
| 1043853252 | Hub Pharmacy Rx Corp | Pharmacy | 288 E 149th St, Bronx, NY 10451-5630 | 2019-10-21 |
| 1609427749 | Claremont Rx Inc | Pharmacy | 243 E 172nd St, Bronx, NY 10457-8902 | 2019-09-20 |
| Find all providers in BRONX | ||||
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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.