United Pharm USA, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

050735 Issued in NY

Legal business name

UNITED PHARM USA, INC

Doing business as

gstpharmacy

Practice address

669 Grand St
Brooklyn, NY 11211-4803

Phone

(718) 963-1018

NPI assigned

Jan 28, 2011

Last updated

Oct 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed Abdelmaksoud

Title

President/Pharmacist

Phone

(917) 613-0884

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• gstpharmacy Doing business as

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1154627834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15218 UNION TPKE APT 3B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673952",
            "telephone_number": "917-613-9884",
            "fax_number": "718-591-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114803",
            "telephone_number": "718-963-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PHARM USA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "ABDELMAKSOUD",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "917-613-0884"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336314012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "gstpharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.