Active NPI
Gem Chemists Inc.
- Community/Retail Pharmacy
- Jackson Heights, NY
National Provider Identifier
1174565634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 020865
- Legal business name
- GEM CHEMISTS INC.
- Practice address
- 90 20 Elmhurst Ave
Jackson Heights, NY 11372 - Phone
- (718) 651-1177
- Fax
- (718) 651-5732
- NPI assigned
- Jun 11, 2006
- 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
- Mireya Gutierrez
- Title
- Supervising Pharmacist/Owner
- Phone
- (718) 651-1177
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 020865 | NY | Primary |
Addresses
Primary practice location
90 20 Elmhurst Ave
Jackson Heights, NY 11372
Mailing address
90 20 Elmhurst Ave
Jackson Heights, NY 11372
Phone (718) 651-1177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01226080 | Medicaid | NY | |
| 2066883 | Other | PK |
Other names 1
- VICTORY 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 |
|---|---|---|---|---|
| O20100930077992 | NY | DME Supplier - Pharmacy | 7315066289 | Practice locations: Jackson Heights, 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.
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1144394784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489363200000",
"number": "1174565634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 20 ELMHURST AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "11372",
"telephone_number": "718-651-1177",
"fax_number": "718-651-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 20 ELMHURST AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "11372",
"telephone_number": "718-651-1177",
"fax_number": "718-651-5732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEM CHEMISTS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2017-03-13",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "MIREYA",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST/OWNER",
"authorized_official_telephone_number": "718-651-1177"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "020865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01226080",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2066883",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VICTORY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.