NPIMap

Organization Active NPI

GSV Pharmacy Inc

Doing business as lane drugs

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1699824524
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028914 Issued in NY
Legal business name
GSV PHARMACY INC
Doing business as
lane drugs
Practice address
4623 13TH Ave
Brooklyn, NY 11219-2631
Phone
(718) 435-1118
Fax
(718) 435-4908
NPI assigned
Jan 9, 2007
Last updated
Jul 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Mr. William Yankovich
Title
Supervising Pharmacist
Phone
(718) 435-1118

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Durable Medical Equipment & Medical Supplies 332B00000X 028914 NY
Community/Retail Pharmacy 3336C0003X 028914 NY Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

4623 13TH Ave
Brooklyn, NY 11219-2631

Mailing address

4623 13TH Ave
Brooklyn, NY 11219-2631
Phone (718) 435-1118

Other identifiers 1

IdentifierTypeStateIssuer
028914OtherNYSTATE LICENSE

Other names 1

  • lane drugs Doing business as

National Provider Directory

National Provider Directory

Locations

4623 13th Ave
Brooklyn, NY 11219
Phone (718) 435-1118

Practitioners & affiliated clinicians

Practitioners 4

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1699824524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192631",
            "telephone_number": "718-435-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192631",
            "telephone_number": "718-435-1118",
            "fax_number": "718-435-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSV PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "YANKOVICH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-435-1118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "028914",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028914",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "028914",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lane drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "lane drugs",
            "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 Jul 9, 2020; 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.