Samanthas Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035796 Issued in NY

Legal business name

SAMANTHAS PHARMACY INC.

Doing business as

Grace Pharmacy

Practice address

9101 43Rd Ave
Elmhurst, NY 11373-2740

Phone

(718) 426-1073

Fax

(718) 426-7910

NPI assigned

Oct 6, 2017

Last updated

Oct 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yury Isakov

Title

President

Phone

(718) 426-1073

Specialties & licenses 1

Addresses

Other names 1

• Grace Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• David Blatt, RPH

  • Pharmacist
  • Commack, NY
  • NPI 1982889838
  NPD

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1932619707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 43RD AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732740",
            "telephone_number": "718-426-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 43RD AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732740",
            "telephone_number": "718-426-1073",
            "fax_number": "718-426-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHAS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "ISAKOV",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-426-1073"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ava Saltzman
• Frahdelyn Salvador
• Grace Salvador
• Trisha Dee Salvador
• Youssef Samaha, MD
• Marina Zimara Sampaga, MD
• Samrat International
• Donn Samson, PT
• Maria Chona Pili San Gabriel
• Jerome A. San Jose

• Community/Retail Pharmacy in Elmhurst, NY
• Providers in Elmhurst, 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 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.