Active NPI
Getty Square Pharmacy Inc
- Community/Retail Pharmacy
- Yonkers, NY
National Provider Identifier
1780175901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 036571
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036571 | Other | NY | NY STATE BOARD OF PHARMACY |
Other names 1
- GETTY SQUARE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Getty Square Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Yonkers, NY
- NPI 1891575023
-
- Pharmacist
- Yonkers, NY
- NPI 1346868726
-
- Pharmacist
- Eastchester, NY
- NPI 1134839442
-
- Pharmacist
- Lyndhurst, NJ
- NPI 1275167561
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.