Active NPI
Gideon'S Drug
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1174616700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 026805
- Legal business name
- GIDEON'S DRUG
- Practice address
- 1385 Broadway
New York, NY 10018 - Phone
- (212) 575-6868
- Fax
- (212) 575-6334
- NPI assigned
- Oct 2, 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
- Gideon Laniado
- Title
- Proprietor
- Phone
- (212) 575-6868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 026805 | NY | Primary |
Addresses
Primary practice location
1385 Broadway
New York, NY 10018
Mailing address
1385 Broadway
New York, NY 10018
Phone (212) 575-6868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02622324 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1385 Broadway
New York, NY 10018
Phone (212) 575-6868
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Flushing, NY
- NPI 1356525653
-
- Pharmacist
- New York, NY
- NPI 1083936512
-
- Pharmacist
- New York, NY
- NPI 1093267692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174616700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10018",
"telephone_number": "212-575-6868",
"fax_number": "212-575-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10018",
"telephone_number": "212-575-6868",
"fax_number": "212-575-6334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIDEON'S DRUG",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LANIADO",
"authorized_official_first_name": "GIDEON",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "212-575-6868"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "026805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02622324",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.