Active NPI
Gerad Pharmacy Inc
- Pharmacy
- Bronx, NY
National Provider Identifier
1114294337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 031216
- Legal business name
- GERAD PHARMACY INC
- Practice address
- 903 Gerard Ave
Bronx, NY 10452-9405 - Phone
- (718) 293-2285
- Fax
- (718) 293-2287
- NPI assigned
- Nov 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sagnia Balbuena
- Title
- President
- Phone
- (917) 664-8531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 031216 | NY | Primary |
Addresses
Primary practice location
903 Gerard Ave
Bronx, NY 10452-9405
Mailing address
903 Gerard Ave
Bronx, NY 10452-9405
Phone (718) 293-2285
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03396476 | Medicaid | NY | |
| 2135898 | Other | PK |
Other names 1
- Gerard Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120919000349 | NY | DME Supplier - Pharmacy | 5092963918 | Practice locations: Bronx, NY |
| O20241023003024 | NY | Part B Supplier - Pharmacy | 5092963918 | Practice locations: Bronx, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Gerad Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Enteral Nutrients|Enteral Equipment and/or Supplies… | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1073810065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411430400000",
"number": "1114294337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 GERARD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104529405",
"telephone_number": "718-293-2285",
"fax_number": "718-293-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 GERARD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104529405",
"telephone_number": "718-293-2285",
"fax_number": "718-293-2287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERAD PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-17",
"last_updated": "2014-09-23",
"status": "A",
"authorized_official_last_name": "BALBUENA",
"authorized_official_first_name": "SAGNIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-664-8531"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "031216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03396476",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2135898",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gerard Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.