NPIMap

Organization Active NPI

Gold Star Pharmacy Inc

  • Community/Retail Pharmacy
  • North Syracuse, NY
National Provider Identifier
1225107170
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020722 Issued in NY
Legal business name
GOLD STAR PHARMACY INC
Practice address
601 S Main St
North Syracuse, NY 13212-3614
Phone
(315) 458-4500
Fax
(315) 458-2163
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Jeffrey Zlotnick, RPHNPI 1710142443
Title
Pharm
Phone
(315) 452-3280

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020722 NY Primary

Addresses

Primary practice location

601 S Main St
North Syracuse, NY 13212-3614

Mailing address

601 S Main St
North Syracuse, NY 13212-3614
Phone (315) 458-4500

Other identifiers 2

IdentifierTypeStateIssuer
01223665MedicaidNY
3397848OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • GOLD STAR PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1225107170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123614",
            "telephone_number": "315-458-4500",
            "fax_number": "315-458-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123614",
            "telephone_number": "315-458-4500",
            "fax_number": "315-458-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "ZLOTNICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHARM",
        "authorized_official_telephone_number": "315-452-3280",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01223665",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3397848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLD STAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.