Organization Active NPI

GS Pharmacy LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1699797605
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027629 Issued in NY
Legal business name
GS PHARMACY LLC
Practice address
1932 Norstrand Ave
Brooklyn, NY 11210
Phone
(718) 421-4068
Fax
(718) 421-4085
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Susana JiangNPI 1073675070
Title
Pharmacist
Phone
(917) 992-2368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 027629 NY Primary

Addresses

Primary practice location

1932 Norstrand Ave
Brooklyn, NY 11210

Mailing address

1932 Norstrand Ave
Brooklyn, NY 11210
Phone (718) 421-4068

Other identifiers 2

IdentifierTypeStateIssuer
2067643OtherPK
2724409MedicaidNY

Other names 1

  • GS PHARMACY LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930094718 NY DME Supplier - Pharmacy 0547462772 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1932 Nostrand Ave
Brooklyn, NY 11210
Phone (718) 421-4068

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1699797605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 NORSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "718-421-4068",
            "fax_number": "718-421-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 NORSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "718-421-4068",
            "fax_number": "718-421-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "917-992-2368"
    },
    "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": "027629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067643",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2724409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GS PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 20, 2016; 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.