Organization Active NPI

Gold Star Contract SVCS Inc

  • Long Term Care Pharmacy
  • North Syracuse, NY
National Provider Identifier
1801957972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
022295 Issued in NY
Legal business name
GOLD STAR CONTRACT SVCS INC
Practice address
601 S Main St
Ste a
North Syracuse, NY 13212-3614
Phone
(315) 452-3280
Fax
(315) 458-2163
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey Zlotnick
Title
RPH
Phone
(315) 452-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 022295 NY Primary

Addresses

Primary practice location

601 S Main St
Ste a
North Syracuse, NY 13212-3614

Mailing address

601 S Main St
Ste a
North Syracuse, NY 13212-3614

Other identifiers 2

IdentifierTypeStateIssuer
01568670MedicaidNY
3368948OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

601 S Main St
Ste A
North Syracuse, NY 13212
Phone (315) 452-3280

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801957972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "address_2": "STE A",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "address_2": "STE A",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123614",
            "telephone_number": "315-452-3280",
            "fax_number": "315-458-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR CONTRACT SVCS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZLOTNICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "315-452-3280"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "022295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01568670",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3368948",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.