Organization Active NPI

Gerad Pharmacy Inc

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1114294337
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
031216 Issued in NY
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

Updated by the provider on Sep 23, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03396476MedicaidNY
2135898OtherPK

Other names 1

  • Gerard Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

SupplierSuppliesMedicare assignment
Gerad Pharmacy Inc903 Gerard Ave, Bronx, NY 10452-9405(718) 293-2285 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 assignmentParticipating since Jun 26, 2012

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.