Organization Active NPI

Lagrass Pharmacy Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1871998609
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033121 Issued in NY
Legal business name
LAGRASS PHARMACY CORP
Practice address
2117 Utica Ave
Brooklyn, NY 11234-3844
Phone
(718) 377-9400
Fax
(718) 377-9401
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Frantz P Sagesse
Title
Pharmacist
Phone
(718) 377-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 033121 NY Primary

Addresses

Primary practice location

2117 Utica Ave
Brooklyn, NY 11234-3844

Mailing address

2117 Utica Ave
Brooklyn, NY 11234-3844
Phone (718) 377-9400

Other identifiers 1

IdentifierTypeStateIssuer
04072395MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1871998609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343844",
            "telephone_number": "718-377-9400",
            "fax_number": "718-377-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343844",
            "telephone_number": "718-377-9400",
            "fax_number": "718-377-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRASS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "SAGESSE",
        "authorized_official_first_name": "FRANTZ",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-377-9400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04072395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 2, 2015; 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.