Organization Active NPI

Morris Drug Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1669526570
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027006 Issued in NY
Legal business name
MORRIS DRUG INC
Practice address
1721 Avenue U
Brooklyn, NY 11229-3811
Phone
(718) 645-2565
Fax
(718) 645-8271
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Vincent Grandelli
Title
Owner
Phone
(718) 645-2565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 027006 NY Primary

Addresses

Primary practice location

1721 Avenue U
Brooklyn, NY 11229-3811

Mailing address

1721 Avenue U
Brooklyn, NY 11229-3811

Other identifiers 2

IdentifierTypeStateIssuer
02648319MedicaidNY
3398422OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

1721 Avenue U
Brooklyn, NY 11229
Phone (718) 645-2565

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1669526570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293811",
            "telephone_number": "718-645-2565",
            "fax_number": "718-645-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "GRANDELLI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-645-2565"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02648319",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3398422",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 13, 2007; 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.