NPIMap

Organization Active NPI

Tops Markets LLC

  • Community/Retail Pharmacy
  • Grand Island, NY
National Provider Identifier
1306027644
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024728 Issued in NY
Legal business name
TOPS MARKETS LLC
Practice address
2140 Grand Island Blvd
Grand Island, NY 14072-2194
Phone
(716) 775-1169
Fax
(855) 331-9012
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Matt Hamed
Title
Director of Pharmacy
Phone
(716) 635-5274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 024728 NY Primary

Addresses

Primary practice location

2140 Grand Island Blvd
Grand Island, NY 14072-2194

Mailing address

PO Box 1027
Buffalo, NY 14240-1027
Phone (716) 635-5276

Other identifiers 2

IdentifierTypeStateIssuer
02069712MedicaidNY
2069836OtherPK

Other names 1

  • TOPS 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
O20100930053652 NY DME Supplier - PharmacyDME Supplier - Grocery Store 8628189875 Practice locations: Grand Island, NY
O20131023000025 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8628189875 This NPI is an additional NPI on the enrollment
Practice locations: Grand Island, NY; Greece, NY; Hamburg, NY; Hamlin, NY; Depew, NY; Irondequoit, NY; Ithaca, NY; Jamestown, 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
Tops Pharmacy #1192140 Grand Island Blvd, Grand Island, NY 14072-2194(716) 775-1169 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Enteral Nutrients Accepts assignmentParticipating since Jun 3, 1995

National Provider Directory

National Provider Directory
Tax ID family
Tops Markets 04151 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2140 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 775-1169

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1306027644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142401027",
            "telephone_number": "716-635-5276",
            "fax_number": "716-635-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 GRAND ISLAND BLVD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722194",
            "telephone_number": "716-775-1169",
            "fax_number": "855-331-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPS MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "716-635-5274"
    },
    "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": "024728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02069712",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOPS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.