Charles Joseph Gross, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

032990 Issued in NY

Practice address

552 Montauk Hwy
Center Moriches, NY 11934-2207

Phone

(631) 878-9030

NPI assigned

Mar 22, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• King Kullen Pharmacies Corp

  • Community/Retail Pharmacy
  • Center Moriches, NY
  • NPI 1336297399
  NPD (past)
• King Kullen Pharmacies Corp

  • Community/Retail Pharmacy
  • Bethpage, NY
  • NPI 1356499313
  NPD (past)

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

{
    "created_epoch": "1206144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206144000000",
    "number": "1639340243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 MONTAUK HWY",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342207",
            "telephone_number": "631-878-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 MONTAUK HWY",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342207",
            "telephone_number": "631-878-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-22",
        "last_updated": "2008-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "032990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Grande, O.T
• Sara Greenblatt
• Kelsey Greenhalgh, DDS
• Stacy Marie Greenwood, RN
• Richard Alan Greguski, RPH
• Growing Licensed Behavior Analyst, PLLC
• Nicole P. Gulino, RN, BSN
• Hampton Orthopedic and Sports Medicine PC
• Michelle Hattorff, MA
• Alice Margaret Herro, PT

• Pharmacist in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.