Organization Active NPI

Gardner'S Pharmacy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1063552446
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
020636 Issued in NY
Legal business name
GARDNER'S PHARMACY, INC
Practice address
371 Broadway
Brooklyn, NY 11211-7303
Phone
(718) 384-7509
Fax
(718) 384-7932
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Mrs. Gloria E. Adorno
Title
Manager
Phone
(718) 384-7509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 020636 NY Primary

Addresses

Primary practice location

371 Broadway
Brooklyn, NY 11211-7303

Mailing address

371 Broadway
Brooklyn, NY 11211-7303
Phone (718) 384-7509

Other identifiers 1

IdentifierTypeStateIssuer
01192456MedicaidNY

National Provider Directory

National Provider Directory

Locations

371 Broadway
Brooklyn, NY 11211
Phone (718) 384-7509

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1063552446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117303",
            "telephone_number": "718-384-7509",
            "fax_number": "718-384-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117303",
            "telephone_number": "718-384-7509",
            "fax_number": "718-384-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER'S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "ADORNO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-384-7509",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "020636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01192456",
            "state": "NY"
        }
    ],
    "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 Mar 8, 2012; 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.