Gristedes Operating Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

024695 Issued in NY

Legal business name

GRISTEDES OPERATING CORP

Practice address

1356 Lexington Ave
New York, NY 10128

Phone

(212) 722-0014

Fax

(212) 722-0514

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Gristedes Pharmacy 52 Doing business as

Tax ID family

Gristedes Operating Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Gristedes Operating Corp

  • Pharmacy
  • Scarsdale, NY
  • NPI 1568449056
  NPD tax ID
• Gristedes Operating Corp

  • Pharmacist
  • New York, NY
  • NPI 1871570853
  NPD tax ID

Locations

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1477530962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-722-0014",
            "fax_number": "212-722-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-722-0014",
            "fax_number": "212-722-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISTEDES OPERATING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-03-07",
        "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": "024695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05064588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3313385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gristedes Pharmacy 52",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.