Organization Active NPI

Grand Health Pharmacy Inc

  • Pharmacy
  • New York, NY
National Provider Identifier
1962721241
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GRAND HEALTH PHARMACY INC
Practice address
349 Grand St
New York, NY 10002-4628
Phone
(212) 228-0068
Fax
(212) 228-9668
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Mrs. Karen J Li, RPH
Title
Manager
Phone
(212) 228-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

349 Grand St
New York, NY 10002-4628

Mailing address

349 Grand St
New York, NY 10002-4628
Phone (212) 228-0068

Other identifiers 1

IdentifierTypeStateIssuer
3271670MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1962721241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 GRAND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024628",
            "telephone_number": "212-228-0068",
            "fax_number": "212-228-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 GRAND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024628",
            "telephone_number": "212-228-0068",
            "fax_number": "212-228-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND HEALTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-228-0068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3271670",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 19, 2014; 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.