NPIMap

Organization Active NPI

Gristedes Operating Corp

  • Pharmacist
  • New York, NY
National Provider Identifier
1871570853
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
024383 Issued in NY
Legal business name
GRISTEDES OPERATING CORP
Doing business as
Gristedes Pharmacy # 99
Practice address
460 3Rd Ave
New York, NY 10016-6027
Phone
(212) 251-0052
Fax
(212) 251-0058
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Mr. Barry Sherman
Title
Vice President
Phone
(917) 217-2789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 024383 NY Primary

Addresses

Primary practice location

460 3Rd Ave
New York, NY 10016-6027

Mailing address

460 3Rd Ave
New York, NY 10016-6027
Phone (212) 251-0052

Other identifiers 3

IdentifierTypeStateIssuer
02023467MedicaidNY
BG6383385OtherD&A
3347829OtherNCPDP

Other names 1

  • Gristedes Pharmacy # 99 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gristedes Operating Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1871570853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166027",
            "telephone_number": "212-251-0052",
            "fax_number": "212-251-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166027",
            "telephone_number": "212-251-0052",
            "fax_number": "212-251-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISTEDES OPERATING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "917-217-2789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "024383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02023467",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D&A",
            "identifier": "BG6383385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3347829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gristedes Pharmacy # 99",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.