NPIMap

Organization Active NPI

GBB Wellness Incorporated

Doing business as GBB Wellness Inc.

  • Pharmacy
  • Jamaica, NY
National Provider Identifier
1154696466
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
031193 Issued in NY
Legal business name
GBB WELLNESS INCORPORATED
Doing business as
GBB Wellness Inc.
Practice address
13742 Guy R Brewer Blvd
Store #6
Jamaica, NY 11434-3732
Phone
(718) 978-0001
Fax
(718) 978-0003
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Mr. Zalman KoyenovNPI 1679856884
Title
President
Phone
(718) 978-0001

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 031193 NY Primary

Addresses

Primary practice location

13742 Guy R Brewer Blvd
Store #6
Jamaica, NY 11434-3732

Mailing address

13742 Guy R Brewer Blvd
Store #6
Jamaica, NY 11434-3732
Phone (718) 978-0001

Other identifiers 1

IdentifierTypeStateIssuer
031193OtherNYNYS BOARD OF PHARMACY

Other names 1

  • GBB WELLNESS INC. Doing business as

National Provider Directory

National Provider Directory

Locations

13742 Guy R Brewer Blvd
Ste 6
Jamaica, NY 11434
Phone (718) 978-0001

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": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1154696466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13742 GUY R BREWER BLVD",
            "address_2": "STORE #6",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343732",
            "telephone_number": "718-978-0001",
            "fax_number": "718-978-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13742 GUY R BREWER BLVD",
            "address_2": "STORE #6",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343732",
            "telephone_number": "718-978-0001",
            "fax_number": "718-978-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBB WELLNESS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "KOYENOV",
        "authorized_official_first_name": "ZALMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-978-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "031193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS BOARD OF PHARMACY",
            "identifier": "031193",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GBB WELLNESS INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GBB WELLNESS INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.