NPIMap

Organization Active NPI

Geroulds Professional Pharmacy Inc

  • Community/Retail Pharmacy
  • Corning, NY
National Provider Identifier
1346284197
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026262 Issued in NY
Legal business name
GEROULDS PROFESSIONAL PHARMACY INC
Doing business as
Gerould's Pharmacy Inc.
Practice address
98 W Pulteney St
Corning, NY 14830-2260
Phone
(607) 936-3233
Fax
(607) 936-2444
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Francis M Steed, RPHNPI 1730403064
Title
Owner
Phone
(607) 936-3233

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 026262 NY Primary

Addresses

Primary practice location

98 W Pulteney St
Corning, NY 14830-2260

Mailing address

98 W Pulteney St
Corning, NY 14830-2260

Other identifiers 2

IdentifierTypeStateIssuer
3334707OtherNCPDP PROVIDER IDENTIFICATION NUMBER
02472315NYMedicaidNY

Other names 1

  • Gerould's Pharmacy Inc. Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100823000002 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2365576683 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corning, NY; Elmira, NY; Horseheads, NY
O20100930008040 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 2365576683 Practice locations: Corning, NY

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
Geroulds Professional Pharmacy Inc.98 W Pulteney St, Corning, NY 14830-2260(607) 936-3233 Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2014

National Provider Directory

National Provider Directory
Tax ID family
Geroulds Surgical Suppl8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1346284197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 W PULTENEY ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 W PULTENEY ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302260",
            "telephone_number": "607-936-3233",
            "fax_number": "607-936-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEROULDS PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "STEED",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-936-3233",
        "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": "026262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3334707",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02472315NY",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerould's Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.