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Contact Information

GRISTEDES OPERATING CORP
1356 LEXINGTON AVE
NEW YORK, NY10128
 Phone: 212-722-0014
 Fax: 212-722-0514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GRISTEDES OPERATING CORP

NPI Number 1477530962
LBN Legal business name GRISTEDES OPERATING CORP
Authorized official BARRY SHERMAN - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2005
Last updated 03/07/2023 - About 3 years ago
Identifiers
NY License # 024695
NY Medicaid 05064588
Other 3313385 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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