Organization Active NPI

Gag Drug Corp

  • Pharmacy
  • Glendale, NY
National Provider Identifier
1366522591
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
015364 Issued in NY
Legal business name
GAG DRUG CORP
Practice address
6686 Fresh Pond Rd
Glendale, NY 11385-3924
Phone
(718) 381-1299
Fax
(718) 381-0949
NPI assigned
Oct 16, 2006
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Mr. Armand Baklajian, RPH.
Title
Supervising Pharmacist
Phone
(718) 381-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 015364 NY Primary

Addresses

Primary practice location

6686 Fresh Pond Rd
Glendale, NY 11385-3924

Mailing address

6686 Fresh Pond Rd
Glendale, NY 11385-3924
Phone (718) 381-1299

Other identifiers 2

IdentifierTypeStateIssuer
3367059OtherNYNCPDP / NABP
01535753MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1366522591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6686 FRESH POND RD",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113853924",
            "telephone_number": "718-381-1299",
            "fax_number": "718-381-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6686 FRESH POND RD",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113853924",
            "telephone_number": "718-381-1299",
            "fax_number": "718-381-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAG DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "BAKLAJIAN",
        "authorized_official_first_name": "ARMAND",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-381-1299",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "015364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP / NABP",
            "identifier": "3367059",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01535753",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.