Organization Active NPI

All Grand Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1013751106
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ALL GRAND PHARMACY INC
Practice address
2259 86TH St
Brooklyn, NY 11214-4107
Phone
(718) 236-8088
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Johnny Zhong Li
Title
Manager
Phone
(718) 236-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2259 86TH St
Brooklyn, NY 11214-4107

Mailing address

2259 86TH St
Brooklyn, NY 11214-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240718001419 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5890231526 Practice locations: Brooklyn, NY
O20250122002521 NY DME Supplier - Pharmacy 5890231526 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
All Grand Pharmacy Inc.2259 86TH St, Brooklyn, NY 11214-4107(718) 236-8088 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 9, 2024

National Provider Directory

National Provider Directory

Locations

2259 86th St
Brooklyn, NY 11214
Phone (718) 236-8088

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1013751106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144107",
            "telephone_number": "718-236-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL GRAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "ZHONG LI",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-236-8088"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.