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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VICTORY RX LLC
NPI 1184521742
Clinical Nurse Specialist - Long-Term Care in Staten Island, NY

Active since October 26, 2026
395 FOREST AVE, STATEN ISLAND, NY 10301(718) 720-2324(718) 720-2327 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Victory Rx Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORY RX LLC (NPI 1184521742) is a healthcare organization registered as a long-term care in Staten Island, New York and active in the NPI registry since October 2026. The organization lists Nicholas Amaxas, Pic, as its authorized official.

NPPES Registry Identity

NPI1184521742
Entity TypeOrganization
Primary Taxonomy364SL0600X
Legal Business NameVICTORY RX LLC
Location Address395 FOREST AVEStaten Island, NY 10301-2622
Mailing Address395 Forest AveStaten Island, NY 10301-2622 · (718) 720-2324 · Fax (718) 720-2327
Phone(718) 720-2324
Fax(718) 720-2327
Organization SubpartNo
Authorized OfficialNicholas AmaxasPic · (718) 720-2324
Enumeration DateOctober 26, 2026
NPPES CertifiedOctober 26, 2026
✔ NPI 1184521742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Long-Term CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SL0600X
395 FOREST AVE, Staten Island, NY 10301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORY RX LLC
Pharmacy (Community/Retail Pharmacy)
395 FOREST AVE
STATEN ISLAND, NY 10301
Richmond County (718) 720-2324
NICHOLAS AMAXAS RPH
Pharmacist
395 FOREST AVE
STATEN ISLAND, NY 10301
Richmond County (718) 720-2324
MOTUNRAYO OGUNJEMILUSI PHARMACIST
Pharmacist
395 FOREST AVE
STATEN ISLAND, NY 10301
Richmond County (718) 720-2324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victory Rx LLC's NPI number?

The NPI number for Victory Rx LLC is 1184521742. It was assigned to this organization in the NPPES registry on October 26, 2026.

Where is Victory Rx LLC located?

Victory Rx LLC is located at 395 Forest Ave, Staten Island, NY 10301. The listed phone number is (718) 720-2324.

What is Victory Rx LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Long-Term Care, with taxonomy code 364SL0600X.

When was this NPI record last updated?

The NPPES record for Victory Rx LLC was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.