Organization Active NPI

SPM Pharmacy Inc.

  • Community/Retail Pharmacy
  • Astoria, NY
National Provider Identifier
1477338622
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SPM PHARMACY INC.
Practice address
2641 3Rd St
Astoria, NY 11102-4853
Phone
(347) 331-6047
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Shrineeta Gade
Title
Owner
Phone
(347) 331-6047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2641 3Rd St
Astoria, NY 11102-4853

Mailing address

6 Nurko Rd
Millstone Township, NJ 08535-3808
Phone (347) 331-6047

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231012001235 NY Part B Supplier - Pharmacy 6103271077 Practice locations: Astoria, NY
O20240123002885 NY DME Supplier - Pharmacy 6103271077 Practice locations: Astoria, 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
SPM Pharmacy Inc.2641 3Rd St, Astoria, NY 11102-4853(631) 825-2422 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 30, 2023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1477338622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NURKO RD",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085353808",
            "telephone_number": "347-331-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 3RD ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024853",
            "telephone_number": "347-331-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPM PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "GADE",
        "authorized_official_first_name": "SHRINEETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-331-6047"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.