GHC Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17029945 Issued in NY

Legal business name

GHC PHARMACY INC.

Practice address

23428 Merrick Blvd
Rosedale, NY 11422-1320

Phone

(718) 997-8700

NPI assigned

Feb 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Igor Yakubov, RPH

Title

President

Phone

(718) 997-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1266105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1659603876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23428 MERRICK BLVD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221320",
            "telephone_number": "718-997-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23428 MERRICK BLVD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221320",
            "telephone_number": "718-997-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-14",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-997-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "17029945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03224393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manal Gerges, D.D.S.
• Geri Medical P.C
• Jude Germain
• Paul J Getreu, D.D.S.
• GHC Pharmacy Inc.
• Doreen Gibbs
• William Gifford, L.C.S.W.
• Carol Ann Gilhuys
• Rachelle Gilot
• Elizabeth Naomi Gonsalves, R.N.

• Community/Retail Pharmacy in Rosedale, NY
• Providers in Rosedale, 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 Feb 3, 2011; 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.