5th Ave Drug, Inc
NPI 1659369783ActiveOrganization· Pharmacy· Bay Shore, NY
Pharmacy in Bay Shore, New York, registered in NPPES in October 2005. The authorized official on file is Tomas Diaz, RPH, President. Medicare paid $3,005 for services to 18 patients in 2024.
Overview
| NPI | 1659369783 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2005 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 020130 | NY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NY); Part B Supplier - Mass Immunization (Roster Biller Only) (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 40 across 8 procedure codes |
| Paid by Medicare | $3,005 |
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