Graciebrutus Pharmacy Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

I049563 Issued in NY

Legal business name

GRACIEBRUTUS PHARMACY INC.

Practice address

205 E 198TH St
Bronx, NY 10458-3101

Phone

(718) 618-7927

Fax

(718) 618-7929

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Altagracia BrutusNPI 1386827228

Title

Pharmacist/Pharmacy Manager

Phone

(718) 618-7927

Specialties & licenses 1

Addresses

Other names 1

• Grace pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Altagracia Brutus

  • Pharmacist
  • Bronx, NY
  • NPI 1386827228
  NPD Authorized official
• Osahon Evans Imafidon, PHARMACIST

  • Pharmacist
  • Bronx, NY
  • NPI 1013173632
  NPD

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1306227145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 198TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104583101",
            "telephone_number": "718-618-7927",
            "fax_number": "718-618-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 198TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104583101",
            "telephone_number": "718-618-7927",
            "fax_number": "718-618-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIEBRUTUS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "BRUTUS",
        "authorized_official_first_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "PHARMACIST/PHARMACY MANAGER",
        "authorized_official_telephone_number": "718-618-7927",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I049563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Optical
• Grace Suh Mental Health Counseling, P.C
• Gracelife Family Health NP PC
• Alex Gracia, MD
• Philome J.H. Gracia, M.D.
• Ageserin Gradney
• Travis R Graff
• Enkela Gragjevi, PHARMD
• Aldith Leonie Graham-Dixon, LPN
• Latoya Kay-Ann Graham-Joseph

• Pharmacist in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.