OrganizationActiveAccepts Medicare
Avon Pharmacy & Surgical Inc
NPI 1720184500 · Community/Retail Pharmacy · Brooklyn, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1720184500
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Alex Mathew, Pharmacist(718) 384-0630
- License
- 023172 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
82 Graham Ave
Brooklyn, NY 11206-3311
Phone: (718) 384-0630
Street-level locationGet directions
Mailing address
82 Graham Ave
Brooklyn, NY 11206-3311
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2017-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.