Second Ave Pharmacy Inc
NPI 1790867588 · Community/Retail Pharmacy · New York, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Second Ave Pharmacy Inc is a Community/Retail Pharmacy organization in New York, NY (NPI 1790867588).
Provider details
- NPI number
- 1790867588
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Venkata Dondapati, Partner and Supervising Phcst(212) 876-8300
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Second Ave Pharmacy Inc
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2016-07-07
Frequently asked questions
- What is Second Ave Pharmacy Inc's NPI number?
- Second Ave Pharmacy Inc's National Provider Identifier (NPI) is 1790867588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Second Ave Pharmacy Inc?
- Second Ave Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Second Ave Pharmacy Inc located?
- Second Ave Pharmacy Inc's practice location on file with NPPES is 249 E 115th St, New York, NY 10029-2130.
- What is Second Ave Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Second Ave Pharmacy Inc is (212) 876-8300.
- Does Second Ave Pharmacy Inc accept Medicare?
- Second Ave Pharmacy Inc 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 Second Ave Pharmacy Inc?
- The authorized official listed on Second Ave Pharmacy Inc's NPPES record is Venkata Dondapati, Partner and Supervising Phcst. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Second Ave Pharmacy Inc's NPI active?
- Yes — Second Ave Pharmacy Inc's NPI (1790867588) is active in the NPPES registry as of the last update on 2016-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.