Grand Ave Chemists Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRAND AVE CHEMISTS INC

Practice address

7201 Grand Ave
Maspeth, NY 11378-1560

Phone

(845) 584-3317

Fax

(929) 463-7139

NPI assigned

Nov 17, 2022

Last updated

Nov 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Javier Burbano

Title

President

Phone

(347) 374-7840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1477262533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781560",
            "telephone_number": "845-584-3317",
            "fax_number": "929-463-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781560",
            "telephone_number": "845-584-3317",
            "fax_number": "929-463-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND AVE CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "BURBANO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-374-7840"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Alexis Glantz, CCC-SLP
• Gina Marie Gomez-Sabin, M.ED TSHH
• Catherine Gonzales, LPN
• Melinda Gonzalez
• Grand Ambulette Service ,Inc.
• Grand Avenue Pharmacy Inc
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• Grand Care Pharmacy Inc.
• Grand Smile Dental

• Community/Retail Pharmacy in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.