Organization Active NPI

Grand Central Pharmacy LLC

  • Pharmacy
  • Cedarhurst, NY
National Provider Identifier
1770617185
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
026735 Issued in NY
Legal business name
GRAND CENTRAL PHARMACY LLC
Doing business as
GRAND CENTRAL PHARMACY
Practice address
420 Central Ave
Cedarhurst, NY 11516-1907
Phone
(516) 295-8880
Fax
(516) 295-8879
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Michelle Fuchs, PHARMACICSTNPI 1861784985
Title
Owner
Phone
(516) 295-8880

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 026735 NY Primary

Addresses

Primary practice location

420 Central Ave
Cedarhurst, NY 11516-1907

Mailing address

420 Central Ave
Cedarhurst, NY 11516-1907
Phone (516) 295-8880

Other identifiers 1

IdentifierTypeStateIssuer
02590738MedicaidNY

Other names 1

  • GRAND CENTRAL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180319000044 NY DME Supplier - Pharmacy 5193083103 Practice locations: Cedarhurst, NY
O20220825001948 NY Part B Supplier - Pharmacy 5193083103 Practice locations: Cedarhurst, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Grand Central Pharmacy LLC420 Central Ave, Cedarhurst, NY 11516-1000(516) 295-8880 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 13, 2022

National Provider Directory

National Provider Directory

Locations

420 Central Ave
Cedarhurst, NY 11516
Phone (516) 295-8880

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1770617185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CENTRAL AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161907",
            "telephone_number": "516-295-8880",
            "fax_number": "516-295-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CENTRAL AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161907",
            "telephone_number": "516-295-8880",
            "fax_number": "516-295-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CENTRAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-295-8880",
        "authorized_official_credential": "PHARMACICST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "026735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02590738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND CENTRAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.