Active NPI
Gamer Pharmacy Inc
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1588697692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 025119
- Legal business name
- GAMER PHARMACY INC
- Practice address
- 6725 Bay Pkwy
Brooklyn, NY 11204-4735 - Phone
- (718) 837-0600
- Fax
- (718) 837-0140
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anatoly Voskoboynik
- Title
- VP
- Phone
- (718) 837-0600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 025119 | NY | Primary |
Addresses
Primary practice location
6725 Bay Pkwy
Brooklyn, NY 11204-4735
Mailing address
6725 Bay Pkwy
Brooklyn, NY 11204-4735
Phone (718) 837-0600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02183246 | Medicaid | NY | |
| 2063429 | Other | PK |
Other names 1
- SUNRISE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930079141 | NY | DME Supplier - Pharmacy | 2264644327 | Practice locations: Brooklyn, NY |
| O20210706002407 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 2264644327 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1598038663
-
- Pharmacist
- Brooklyn, NY
- NPI 1861715740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424736000000",
"number": "1588697692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6725 BAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112044735",
"telephone_number": "718-837-0600",
"fax_number": "718-837-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6725 BAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112044735",
"telephone_number": "718-837-0600",
"fax_number": "718-837-0140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAMER PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2015-02-24",
"status": "A",
"authorized_official_last_name": "VOSKOBOYNIK",
"authorized_official_first_name": "ANATOLY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "718-837-0600"
},
"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": "025119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02183246",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2063429",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SUNRISE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.