Organization Active NPI

Gamer Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1588697692
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025119 Issued in NY
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

Updated by the provider on Feb 24, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02183246MedicaidNY
2063429OtherPK

Other names 1

  • SUNRISE 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
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 Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.