Provider Demographics
NPI:1093076663
Name:APTEKA RX INC
Entity Type:Organization
Organization Name:APTEKA RX INC
Other - Org Name:AMSTERDAM PHARMACY&SURGICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RATNASREE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVULAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-234-7400
Mailing Address - Street 1:1743 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-4614
Mailing Address - Country:US
Mailing Address - Phone:212-234-7400
Mailing Address - Fax:212-234-7466
Practice Address - Street 1:1743 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4614
Practice Address - Country:US
Practice Address - Phone:212-234-7400
Practice Address - Fax:212-234-7466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0330723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2136225OtherPK
NY031388OtherSTATE BOARD
NYFA3358187OtherDEA
NY03457201OtherNY MEDICAID
NY6701120001Medicare NSC