Active NPI
Grum Corporation
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1124763982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GRUM CORPORATION
- Practice address
- 4519 7TH Ave
Brooklyn, NY 11220-1495 - Phone
- (718) 576-3476
- Fax
- (718) 576-3459
- NPI assigned
- May 4, 2022
- 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
- Mr. Muhammad Hasnain
- Title
- President
- Phone
- (718) 576-3476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4519 7TH Ave
Brooklyn, NY 11220-1495
Mailing address
4519 7TH Ave
Brooklyn, NY 11220-1495
Phone (718) 576-3476
Other names 1
- AZE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220714000776 | NY | Part B Supplier - Pharmacy | 2860873429 | Practice locations: Brooklyn, NY |
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
- Brooklyn, NY
- NPI 1811169444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726790400000",
"number": "1124763982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112201495",
"telephone_number": "718-576-3476",
"fax_number": "718-576-3459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112201495",
"telephone_number": "718-576-3476",
"fax_number": "718-576-3459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRUM CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-04",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A",
"authorized_official_last_name": "HASNAIN",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-576-3476",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AZE PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AZE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.