Victory Rx LLC
NPI 1023332319 · Community/Retail Pharmacy · Staten Island, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victory Rx LLC is a Community/Retail Pharmacy organization in Staten Island, NY (NPI 1023332319).
Provider details
- NPI number
- 1023332319
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Nicholas Amaxas, Pharmacist/Owner(718) 720-2324
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
82 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 82 | $36 |
Typical Medicare-allowed amounts for these services range $36–$36 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Randall Manor Pharmacy & Surgicals
Registry dates
- Enumerated
- 2010-03-16
- Last updated
- 2014-11-03
Frequently asked questions
- What is Victory Rx LLC's NPI number?
- Victory Rx LLC's National Provider Identifier (NPI) is 1023332319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Rx LLC?
- Victory Rx LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Victory Rx LLC located?
- Victory Rx LLC's practice location on file with NPPES is 395 Forest Ave, Staten Island, NY 10301-2622.
- What is Victory Rx LLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Rx LLC is (718) 720-2324.
- Does Victory Rx LLC accept Medicare?
- Victory Rx LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Victory Rx LLC?
- The authorized official listed on Victory Rx LLC's NPPES record is Nicholas Amaxas, Pharmacist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Rx LLC's NPI active?
- Yes — Victory Rx LLC's NPI (1023332319) is active in the NPPES registry as of the last update on 2014-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.