NPIMap

Organization Active NPI

Gristedes Foods Inc

  • Pharmacy
  • New York, NY
National Provider Identifier
1396722864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
025444 Issued in NY
Legal business name
GRISTEDES FOODS INC
Practice address
549 3Rd Ave
New York, NY 10016-3501
Phone
(212) 679-4000
Fax
(212) 679-4212
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Barry Sherman
Title
Vice President
Phone
(917) 217-2789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 025444 NY Primary

Addresses

Primary practice location

549 3Rd Ave
New York, NY 10016-3501

Mailing address

549 3Rd Ave
New York, NY 10016
Phone (212) 679-4000

Other identifiers 3

IdentifierTypeStateIssuer
BG7970886OtherDGA
02380472MedicaidNY
3327156OtherNCPDP

Other names 1

  • Gristedes Pharmacy 555 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gristedes Foods Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

549 3Rd Ave
New York, NY 10016
Phone (212) 679-4000

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396722864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-679-4000",
            "fax_number": "212-679-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163501",
            "telephone_number": "212-679-4000",
            "fax_number": "212-679-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISTEDES FOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "917-217-2789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "025444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DGA",
            "identifier": "BG7970886",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02380472",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3327156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gristedes Pharmacy 555",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.