Organization Active NPI

Getty Square Pharmacy Inc

  • Community/Retail Pharmacy
  • Yonkers, NY
National Provider Identifier
1780175901
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
036571 Issued in NY
Legal business name
GETTY SQUARE PHARMACY INC
Practice address
1 S Broadway
Yonkers, NY 10701-3701
Phone
(914) 457-5742
Fax
(914) 457-5743
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Madan M Guntupalli
Title
President
Phone
(732) 666-7163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 036571 NY Primary

Addresses

Primary practice location

1 S Broadway
Yonkers, NY 10701-3701

Mailing address

1 S Broadway
Yonkers, NY 10701-3701
Phone (914) 457-5742

Other identifiers 1

IdentifierTypeStateIssuer
036571OtherNYNY STATE BOARD OF PHARMACY

Other names 1

  • GETTY SQUARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20190207002497 NY Part B Supplier - Pharmacy 7315285822 Practice locations: Yonkers, NY
O20210318002653 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7315285822 Practice locations: Yonkers, NY
O20240604000011 NY DME Supplier - Pharmacy 7315285822 Practice locations: Yonkers, 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
Getty Square Pharmacy1 S Broadway, Yonkers, NY 10701-3701(914) 457-5742 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 1, 2018

National Provider Directory

National Provider Directory

Locations

1 S Broadway
Yonkers, NY 10701
Phone (914) 457-5742

Practitioners & affiliated clinicians

Practitioners 4

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": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1780175901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013701",
            "telephone_number": "914-457-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013701",
            "telephone_number": "914-457-5742",
            "fax_number": "914-457-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GETTY SQUARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "GUNTUPALLI",
        "authorized_official_first_name": "MADAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-666-7163"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE BOARD OF PHARMACY",
            "identifier": "036571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GETTY SQUARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.