Organization Active NPI

GR Pharmacy Inc

  • Community/Retail Pharmacy
  • Rockaway Beach, NY
National Provider Identifier
1043307507
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029309 Issued in NY
Legal business name
GR PHARMACY INC
Practice address
8818 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1608
Phone
(718) 945-4300
Fax
(718) 945-3800
NPI assigned
Oct 6, 2006
Last updated
Sep 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Mr. Rakesh Shah
Title
President
Phone
(718) 945-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029309 NY Primary

Addresses

Primary practice location

8818 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1608

Mailing address

8818 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1608
Phone (718) 945-4300

Other identifiers 1

IdentifierTypeStateIssuer
03103142MedicaidNY

National Provider Directory

National Provider Directory

Locations

8818 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 945-4300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1043307507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8818 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931608",
            "telephone_number": "718-945-4300",
            "fax_number": "718-945-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8818 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931608",
            "telephone_number": "718-945-4300",
            "fax_number": "718-945-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-945-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03103142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.