Organization Active NPI

Grand Union of Sherrill LLC

  • Pharmacy
  • Sherrill, NY
National Provider Identifier
1447918370
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GRAND UNION OF SHERRILL LLC
Practice address
87 E State St
Sherrill, NY 13461-1231
Phone
(315) 361-1689
NPI assigned
Dec 8, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Robert Hungridge
Title
Manager of Pharmacy
Phone
(732) 547-9605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

87 E State St
Sherrill, NY 13461-1231

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Other names 1

  • Grand Union Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhungrid@cswg.com

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220414001913 NY Part B Supplier - Pharmacy 3375939580 Practice locations: Sherrill, NY
O20220808002305 NY DME Supplier - Pharmacy 3375939580 Practice locations: Sherrill, 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
Grand Union of Sherrill LLC87 E State St, Sherrill, NY 13461-1231(315) 361-4090 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Mar 30, 2022

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: rhungrid@cswg.com

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": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1447918370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORPORATE DR",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034315042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 E STATE ST",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611231",
            "telephone_number": "315-361-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND UNION OF SHERRILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "HUNGRIDGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER OF PHARMACY",
        "authorized_official_telephone_number": "732-547-9605"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhungrid@cswg.com",
            "affiliation": "N",
            "address_1": "87 E State St",
            "city": "Sherrill",
            "state": "NY",
            "country_code": "US",
            "postal_code": "134611231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grand Union",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sherrill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.