Little Neck Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025140 Issued in NY

Legal business name

LITTLE NECK DRUG STORE INC

Practice address

25211 Northern Blvd
Little Neck, NY 11362-1355

Phone

(718) 631-8787

Fax

(718) 631-7890

NPI assigned

Jan 21, 2007

Last updated

Apr 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chandra S Gajulapalli, RPH

Title

Supervising Pharmacist

Phone

(718) 631-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandrasekhar Gajulapalli, RPH

  • Pharmacist
  • Little Neck, NY
  • NPI 1043532948
  NPD

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1649323635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25211 NORTHERN BLVD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621355",
            "telephone_number": "718-631-8787",
            "fax_number": "718-631-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25211 NORTHERN BLVD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621355",
            "telephone_number": "718-631-8787",
            "fax_number": "718-631-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE NECK DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "GAJULAPALLI",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-631-8787",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02195137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Linden, DO
• Cindy Lipcic
• Little Miss Optical Inc
• Little Neck Care Center LLC.
• Little Neck Come Dental
• Little Neck Eyecare Center LLC (Little Neck Optical)
• Little Neck Nursing Home
• Little Neck RX Corp (Pharmaconic)
• Little Neck RX Corp (Pharmaconic)
• Little Neck-Douglaston Community Ambulance Corp Inc

• Community/Retail Pharmacy in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.