Active NPI
GSR Pharmacy Inc
Doing business as e-z pharmacy&surgical
- Pharmacy
- Astoria, NY
National Provider Identifier
1689901241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 029983
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3175537 | Medicaid | NY | |
| 2125244 | Other | PK |
Other names 1
- e-z pharmacy&surgical
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Astoria, NY
- NPI 1699001933
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.