Organization Active NPI

GVM Pharmacy Inc

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1275043200
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GVM PHARMACY INC
Doing business as
SI Pharmacy
STATEN ISLAND PHARMACY
Practice address
203 Old Town Rd
Staten Island, NY 10305-1415
Phone
(718) 489-4994
Fax
(718) 489-4996
NPI assigned
Oct 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Zaidy Lopez
Title
President
Phone
(718) 489-4994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

203 Old Town Rd
Staten Island, NY 10305-1415

Mailing address

203 Old Town Rd
Staten Island, NY 10305-1415
Phone (718) 489-4994

Other names 2

  • SI Pharmacy Doing business as
  • STATEN ISLAND PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180307002690 NY DME Supplier - Pharmacy 3577824523 Practice locations: Staten Island, NY
O20220613001210 NY Part B Supplier - Pharmacy 3577824523 Practice locations: Staten Island, 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
Staten Island Pharmacy203 Old Town Rd, Staten Island, NY 10305-1415(718) 489-4994 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 1, 2022

National Provider Directory

National Provider Directory

Locations

203 Old Town Rd
Staten Island, NY 10305
Phone (718) 489-4994

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": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1275043200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OLD TOWN RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051415",
            "telephone_number": "718-489-4994",
            "fax_number": "718-489-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OLD TOWN RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051415",
            "telephone_number": "718-489-4994",
            "fax_number": "718-489-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GVM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ZAIDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-489-4994"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SI Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STATEN ISLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.