Grand Avenue Pharmacy Inc
LBN: Grand Avenue Pharmacy Inc
Grand Avenue Pharmacy Inc is an health care organization with primary practice located at 69 29 Grand Ave , Maspeth NY 11378-1895. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Grand Avenue Pharmacy Inc can be contacted via phone (718) 898-6882, or through Terracciano, Anthony via phone (718) 898-6882.
Contact Information
Primary practice address
69 29 Grand Ave
Maspeth NY 11378-1895
Phone: (718) 898-6882
Fax: (718) 898-2504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 012597 | New York |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1760424055 |
|---|---|
| LBN Legal business name | Grand Avenue Pharmacy Inc |
| DBA Doing business as | Grand Avenue Pharmacy Inc |
| Authorized official | Terracciano, Anthony |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Apr 16th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760424055 | NPPES |
| New York | MEDICAID | 01046955 | |
| New York | Other | 2059246 |
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