NPIMap

Organization Active NPI

Grassy Sprain Pharmacy,Inc

  • Community/Retail Pharmacy
  • Yonkers, NY
National Provider Identifier
1982766770
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17779 Issued in NY
Legal business name
GRASSY SPRAIN PHARMACY,INC
Practice address
640 Tuckahoe Rd
Yonkers, NY 10710-5704
Phone
(914) 779-5133
Fax
(914) 779-8202
NPI assigned
Dec 15, 2006
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Mr. Daniel Nmi Molino, R.PH.
Title
President
Phone
(914) 779-5133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 17779 NY Primary

Addresses

Primary practice location

640 Tuckahoe Rd
Yonkers, NY 10710-5704

Mailing address

640 Tuckahoe Rd
Yonkers, NY 10710-5705
Phone (914) 779-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20100930078339 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 2062533854 Practice locations: Yonkers, NY
O20131011000759 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2062533854 Practice locations: Yonkers, NY
O20210203000802 NY Part B Supplier - Independent Clinical Laboratory 2062533854 Practice locations: Yonkers, NY
O20220607002334 NY Part B Supplier - Pharmacy 2062533854 Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory
Tax ID family
Grassy Sprain Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 5

Organizations this organization is a member of, according to the National Provider Directory.

Locations

640 Tuckahoe Rd
Yonkers, NY 10710
Phone (914) 779-0565

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1982766770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 TUCKAHOE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105705",
            "telephone_number": "914-779-5133",
            "fax_number": "914-779-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 TUCKAHOE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105704",
            "telephone_number": "914-779-5133",
            "fax_number": "914-779-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASSY SPRAIN PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "MOLINO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-779-5133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "17779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.