Organization Active NPI

Gideon'S Drug

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1174616700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026805 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02622324MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.