Organization Active NPI

Double G Pharmaceuticals,Inc.

  • Community/Retail Pharmacy
  • Astoria, NY
National Provider Identifier
1568477164
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020911 Issued in NY
Legal business name
DOUBLE G PHARMACEUTICALS,INC.
Practice address
2282 31St St
Astoria, NY 11105-2714
Phone
(718) 728-3127
Fax
(718) 728-1623
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Gary Hart, RPHNPI 1164968863
Title
Supervising RPH
Phone
(718) 728-3127

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020911 NY Primary

Addresses

Primary practice location

2282 31St St
Astoria, NY 11105-2714

Mailing address

2282 31St St
Astoria, NY 11105-2714
Phone (718) 728-3127

Other identifiers 2

IdentifierTypeStateIssuer
3398282OtherNCPDP PROVIDER IDENTIFICATION NUMBER
01503837MedicaidNY

Other names 1

  • DOUBLE G PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170221001908 NY Part B Supplier - Pharmacy 1850675794 Practice locations: Astoria, NY
O20250826000243 NY Part B Supplier - Pharmacy 1850675794 Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1568477164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052714",
            "telephone_number": "718-728-3127",
            "fax_number": "718-728-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052714",
            "telephone_number": "718-728-3127",
            "fax_number": "718-728-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE G PHARMACEUTICALS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SUPERVISING RPH",
        "authorized_official_telephone_number": "718-728-3127",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3398282",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01503837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOUBLE G PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 22, 2017; 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.