| NPI | 1023332319 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2010-03-16 |
| Last Updated | 2014-11-03 |
| Authorized Official | Nicholas Amaxas PHARMACIST/OWNER Phone: 7187202324 |
| Mailing Address | 395 Forest Ave Staten Island, NY 10301-2622 United States Phone: (718) 720-2324 | Fax: (718) 720-2327 📍 View Map |
| Primary Practice Address | 395 Forest Ave Staten Island, NY 10301-2622 United States Phone: (718) 720-2324 | Fax: (718) 720-2327 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2125564 | PK |
| MEDICAID | NY | 3249612 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NY | 030142 |
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About NPI 1023332319
Victory Rx Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1023332319. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Staten Island, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-03-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1023332319?
NPI 1023332319 belongs to Victory Rx Llc, a Pharmacy, Community/Retail Pharmacy in Staten Island, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1023332319 active?
The current status of NPI 1023332319 in the NPPES registry is Active. The record was last updated on 2014-11-03.
What specialty is NPI 1023332319?
NPI 1023332319 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1023332319?
You can verify NPI 1023332319 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1023332319?
The primary practice address on file for NPI 1023332319 is 395 Forest Ave, Staten Island, NY 10301-2622. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1023332319 issued?
NPI 1023332319 was first issued (enumerated) on 2010-03-16. The NPPES record was last updated on 2014-11-03.
Practice Location Map
Victory Rx Llc is located at 395 Forest Ave, Staten Island, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Victory Rx Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1023332319. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 030142 | NY |