Gotham Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GOTHAM PHARMACY INC

Practice address

2258 3Rd Ave
(Corner of E 123Rd St and 3Rd Ave)
New York, NY 10035-2208

Phone

(212) 289-7800

Fax

(212) 289-7806

NPI assigned

Dec 11, 2012

Organization subpart

No

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

Authorized official

Name

Betty Grullon

Title

President

Phone

(347) 739-2840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn Young, PHARM D

  • Pharmacist
  • New York, NY
  • NPI 1740417146
  NPD

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1093050445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 3RD AVE",
            "address_2": "(CORNER OF E 123RD ST AND 3RD AVE)",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352208",
            "telephone_number": "212-289-7800",
            "fax_number": "212-289-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 3RD AVE",
            "address_2": "(CORNER OF E 123RD ST AND 3RD AVE)",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352208",
            "telephone_number": "212-289-7800",
            "fax_number": "212-289-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "GRULLON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-739-2840"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gotham Medical Associates, PLLC
• Gotham Medical Group LLP
• Gotham Pediatrics, PC
• Gotham Per Diem, Inc
• Gotham Per Diem, Inc
• Gotham Physical Therapy Group PLLC
• Gotham Physical Therapy, PC
• Gotham Plastic Surgery, PLLC
• Gotham Podiatric Surgical Suite
• Gotham Podiatry Care Services PLLC

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.