Organization Active NPI

Graham RX Corp

Doing business as City Chemist II

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1821187519
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025240 Issued in NY
Legal business name
GRAHAM RX CORP
Doing business as
City Chemist II
City Chemist
Practice address
710 Metropolitan Ave
Brooklyn, NY 11211-6714
Phone
(718) 387-0124
Fax
(718) 387-0946
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Robert Mattern
Title
Owner
Phone
(718) 387-0124

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 025240 NY Primary

Addresses

Primary practice location

710 Metropolitan Ave
Brooklyn, NY 11211-6714

Mailing address

710 Metropolitan Ave
Brooklyn, NY 11211-6714
Phone (718) 387-0124

Other identifiers 2

IdentifierTypeStateIssuer
02204680MedicaidNY
2064549OtherPK

Other names 2

  • CITY CHEMIST II Doing business as
  • City Chemist Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930019258 NY DME Supplier - Pharmacy 2769695584 Practice locations: Brooklyn, NY
O20210125002195 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2769695584 Practice locations: Brooklyn, 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
Graham RX Corp710 Metropolitan Ave, Brooklyn, NY 11211-6714(718) 387-0124 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2003

National Provider Directory

National Provider Directory

Locations

335 Graham Ave
Brooklyn, NY 11211
Phone (718) 246-4100

Practitioners & affiliated clinicians

Practitioners 1

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1821187519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 METROPOLITAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116714",
            "telephone_number": "718-387-0124",
            "fax_number": "718-387-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 METROPOLITAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116714",
            "telephone_number": "718-387-0124",
            "fax_number": "718-387-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "MATTERN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-387-0124"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02204680",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY CHEMIST II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Chemist",
            "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 Apr 10, 2025; 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.