Organization Active NPI

Century Grand Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1194028712
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CENTURY GRAND INC
Practice address
26 E Broadway
New York, NY 10002-6817
Phone
(212) 925-3838
Fax
(212) 925-3833
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Mr. Yanyu Liu
Title
President
Phone
(212) 925-3838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X NY Primary

Addresses

Primary practice location

26 E Broadway
New York, NY 10002-6817

Mailing address

26 E Broadway
New York, NY 10002-6817
Phone (212) 925-3838

Other identifiers 2

IdentifierTypeStateIssuer
5801748OtherNCPDP PROVIDER IDENTIFICATION NUMBER
03318678MedicaidNY

Other names 1

  • 26 Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110927000185 NY DME Supplier - Pharmacy 0244401057 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Century Grand Inc26 E Broadway, New York, NY 10002-6817(212) 925-3838 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelc… Does not accept assignmentParticipating since Sep 27, 2011

National Provider Directory

National Provider Directory

Locations

302A Grand St
#A
New York, NY 10002
Phone (212) 925-3838

302A Grand St
New York, NY 10002
Phone (212) 925-3838

26 E Broadway
New York, NY 10002
Phone (212) 925-3838

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": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1194028712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026817",
            "telephone_number": "212-925-3838",
            "fax_number": "212-925-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026817",
            "telephone_number": "212-925-3838",
            "fax_number": "212-925-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY GRAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YANYU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-925-3838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5801748",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03318678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "26 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.