Organization Active NPI

GSR Pharmacy Inc

Doing business as e-z pharmacy&surgical

  • Pharmacy
  • Astoria, NY
National Provider Identifier
1689901241
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
029983 Issued in NY
Legal business name
GSR PHARMACY INC
Doing business as
e-z pharmacy&surgical
Practice address
803 Astoria Blvd
Astoria, NY 11102-4028
Phone
(718) 777-1100
Fax
(718) 777-5276
NPI assigned
Nov 3, 2009
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Nagi Reddy Pallapolu
Title
Manager
Phone
(718) 777-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 029983 NY Primary

Addresses

Primary practice location

803 Astoria Blvd
Astoria, NY 11102-4028

Mailing address

803 Astoria Blvd
Astoria, NY 11102-4028
Phone (718) 777-1100

Other identifiers 2

IdentifierTypeStateIssuer
3175537MedicaidNY
2125244OtherPK

Other names 1

  • e-z pharmacy&surgical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1689901241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024028",
            "telephone_number": "718-777-1100",
            "fax_number": "718-777-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024028",
            "telephone_number": "718-777-1100",
            "fax_number": "718-777-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "PALLAPOLU",
        "authorized_official_first_name": "NAGI REDDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-777-1100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3175537",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "e-z pharmacy&surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.