GM Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026552 Issued in NY

Legal business name

GM PHARMACY INC

Practice address

174 Avenue O
Brooklyn, NY 11204-4918

Phone

(718) 256-7757

Fax

(718) 256-7747

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Iosif Tartakovskiy

Title

Owner

Phone

(718) 256-7757

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GM PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larisa Tartakovskiy, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1417270844
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1891863692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 AVENUE O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044918",
            "telephone_number": "718-256-7757",
            "fax_number": "718-256-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 AVENUE O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044918",
            "telephone_number": "718-256-7757",
            "fax_number": "718-256-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "TARTAKOVSKIY",
        "authorized_official_first_name": "IOSIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-256-7757"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061674",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02530427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GM PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mikhail Glyantsev
• Meghan Elizabeth Glynn
• Siobhan Glynn, LMSW
• Mary Glyptis
• GM Family Resources Inc.
• Gmad and Associates
• Gmoise Occupational Therapy Services P.C
• GMS Success Inc.
• GMT Quality Consulting Corporation
• Assita Gnangadou

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.