Organization Active NPI

Fresh Pond Chemists LLC

  • Pharmacy
  • Maspeth, NY
National Provider Identifier
1134937261
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
FRESH POND CHEMISTS LLC
Practice address
6060 Fresh Pond Rd
Maspeth, NY 11378-3544
Phone
(917) 617-6248
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Mariano Gagliardo, PHARMD.NPI 1801379086
Title
Owner/Pharmacist
Phone
(917) 617-6248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

6060 Fresh Pond Rd
Maspeth, NY 11378-3544

Mailing address

6060 Fresh Pond Rd
Maspeth, NY 11378-3544
Phone (917) 617-6248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250430001526 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3870019011 Practice locations: Maspeth, NY
O20250528003575 NY DME Supplier - Pharmacy 3870019011 Practice locations: Maspeth, NY
O20260112003004 NY Part B Supplier - Pharmacy 3870019011 Practice locations: Maspeth, NY

National Provider Directory

National Provider Directory
Tax ID family
Fresh Pond Chemists LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6060 Fresh Pond Rd
Maspeth, NY 11378
Phone (718) 381-1234

Practitioners & affiliated clinicians

Practitioners 2

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": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1134937261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 FRESH POND RD",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783544",
            "telephone_number": "917-617-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 FRESH POND RD",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783544",
            "telephone_number": "917-617-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH POND CHEMISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDO",
        "authorized_official_first_name": "MARIANO",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "917-617-6248",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.

Verify at the official NPI Registry.