NPIMap

Organization Active NPI

Gerould'S Professional Pharmacy Inc.

  • Long Term Care Pharmacy
  • Elmira, NY
National Provider Identifier
1639630635
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GEROULD'S PROFESSIONAL PHARMACY INC.
Practice address
130 S Main St
Elmira, NY 14904-1309
Phone
(607) 733-6696
Fax
(607) 737-0567
NPI assigned
Mar 31, 2019
Organization subpart
Yes
Parent organization
GEROULD'S PROFESSIONAL PHARMACY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Frank T Steed, COO
Title
Owner
Phone
(607) 732-0597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

130 S Main St
Elmira, NY 14904-1309

Mailing address

130 S Main St
Elmira, NY 14904-1309
Phone (607) 732-0597

Other identifiers 1

IdentifierTypeStateIssuer
00358801MedicaidNY

Other names 1

  • Gerould's Pharmacy #1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Geroulds Surgical Suppl8 organizations share this tax ID, including this one
Part of
Geroulds Surgical Suppl

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1639630635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149041309",
            "telephone_number": "607-732-0597",
            "fax_number": "607-733-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149041309",
            "telephone_number": "607-733-6696",
            "fax_number": "607-737-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEROULD'S PROFESSIONAL PHARMACY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEROULD'S PROFESSIONAL PHARMACY INC.",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "STEED",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-732-0597",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00358801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerould's Pharmacy #1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gerould's Pharmacy #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.