Organization Active NPI

Gramercy Drugs Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1588910392
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031324 Issued in NY
Legal business name
GRAMERCY DRUGS INC
Doing business as
GRAMERCY DRUGS
Practice address
2218 Avenue X
Brooklyn, NY 11235-2508
Phone
(212) 532-0022
Fax
(212) 532-0044
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Tatyana Fishkis
Title
President
Phone
(917) 622-2772

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031324 NY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2218 Avenue X
Brooklyn, NY 11235-2508

Mailing address

2218 Avenue X
Brooklyn, NY 11235-2508
Phone (212) 532-0022

Other identifiers 3

IdentifierTypeStateIssuer
03490333MedicaidNY
2136274OtherPK
03409333MedicaidNY

Other names 1

  • GRAMERCY DRUGS Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121211000256 NY DME Supplier - Pharmacy 1254583636 Practice locations: Brooklyn, NY
O20140507001443 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1254583636 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gramercy Drugs Inc.2218 Avenue X, Brooklyn, NY 11235-2508(212) 532-0022 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|Neuromuscular Elect Stimulators (NMES)/Suppli… Accepts assignmentParticipating since Sep 15, 2013

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2218 Avenue X
Brooklyn, NY 11235
Phone (212) 532-0022

1938 3rd Ave
New York, NY 10029
Phone (212) 532-0022

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": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1588910392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352508",
            "telephone_number": "212-532-0022",
            "fax_number": "212-532-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352508",
            "telephone_number": "212-532-0022",
            "fax_number": "212-532-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "FISHKIS",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-622-2772"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031324",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03490333",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136274",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03409333",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAMERCY DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRAMERCY DRUGS",
            "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 Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.