Grace Pharmacy LTD.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GRACE PHARMACY LTD.

Practice address

491 S Broadway
Yonkers, NY 10705-3252

Phone

(914) 963-3911

Fax

(914) 963-7715

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Yanira Alvarado

Title

Owner

Phone

(914) 963-3911

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Grace Song Kwon, RPH

  • Pharmacist
  • Yonkers, NY
  • NPI 1023330354
  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1093732976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053252",
            "telephone_number": "914-963-3911",
            "fax_number": "914-963-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053252",
            "telephone_number": "914-963-3911",
            "fax_number": "914-963-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PHARMACY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "YANIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-963-3911"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01155366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oana Sanda Gorun-Gorunescu, M.D.
• Gotham Diagnostic Imaging, P. C.
• Gotham Spine and Brain Surgery, PLLC (Morr Neurosurgery)
• Gould Chiropractic PLLC
• Conrad K. Gould, D.C.
• Jennifer Grados, MS, CCC-SLP TSSLD
• Ieshia Graham
• Hillary Grainer
• Henriette Granados
• Theresa Ann Grandville, RPH

• Pharmacy in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.