Organization Active NPI

Image Heights Pharmacy

  • Community/Retail Pharmacy
  • Jackson Heights, NY
National Provider Identifier
1518197540
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029689 Issued in NY
Legal business name
IMAGE HEIGHTS PHARMACY
Doing business as
Image Heights Pharmacy
Practice address
7501 37TH Ave
Jackson Heights, NY 11372-6537
Phone
(718) 424-0100
Fax
(718) 424-5044
NPI assigned
Jul 24, 2009
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Michael GrinmanNPI 1548592819
Title
Vice President
Phone
(917) 376-4016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 029689 NY Primary

Addresses

Primary practice location

7501 37TH Ave
Jackson Heights, NY 11372-6537

Mailing address

7501 37TH Ave
Jackson Heights, NY 11372-6537
Phone (718) 424-0100

Other identifiers 2

IdentifierTypeStateIssuer
3161213MedicaidNY
2121218OtherPK

Other names 1

  • Image Heights Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930036625 NY DME Supplier - Pharmacy 6709086127 Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

7501 37th Ave
Jackson Hts, NY 11372
Phone (718) 424-0100

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": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1518197540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726537",
            "telephone_number": "718-424-0100",
            "fax_number": "718-424-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726537",
            "telephone_number": "718-424-0100",
            "fax_number": "718-424-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE HEIGHTS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "GRINMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "917-376-4016"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3161213",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Image Heights Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.