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GRANDBROOK PHARMACY, INC
NPI 1053605113
Pharmacy - Community/Retail Pharmacy in Brooklyn, NY

Active since June 07, 2011
642 SUTTER AVE, BROOKLYN, NY 11207(718) 484-8690(347) 533-8629 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2017, Feb 14, 2017 (2 updates tracked since 2017).

About Grandbrook Pharmacy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANDBROOK PHARMACY, INC (NPI 1053605113) is a healthcare organization registered as a community/retail pharmacy in Brooklyn, New York and active in the NPI registry since June 2011. The organization lists Ghulam Murtaza, President/sup.pharmacist, as its authorized official.

NPPES Registry Identity

NPI1053605113
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGRANDBROOK PHARMACY INC
Location Address642 SUTTER AVEBrooklyn, NY 11207-4113
Mailing Address182 Lodge AveHuntington Station, NY 11746-2830 · (718) 484-8690 · Fax (347) 533-8629
Phone(718) 484-8690
Fax(347) 533-8629
Organization SubpartNo
Authorized OfficialGhulam MurtazaPresident/sup.pharmacist · (718) 484-8690
Enumeration DateJune 7, 2011
Last NPPES UpdateApril 19, 20172 updates tracked since enumeration
✔ NPI 1053605113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 030640
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
642 SUTTER AVE, Brooklyn, NY 11207
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Other Names 1

Doing Business AsGrandbrook Pharmacy, Inc

Other Identifiers 3

Medicaid3344507NY
Medicare NSC6542480001
Other2130653Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GHULAM MURTAZA R.PH.
Pharmacist
642 SUTTER AVE
BROOKLYN, NY 11207
Kings County (718) 346-9512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grandbrook Pharmacy Inc's NPI number?

The NPI number for Grandbrook Pharmacy Inc is 1053605113. It was assigned to this organization in the NPPES registry on June 7, 2011. The provider is doing business as Grandbrook Pharmacy, Inc.

Where is Grandbrook Pharmacy Inc located?

Grandbrook Pharmacy Inc is located at 642 Sutter Ave, Brooklyn, NY 11207. The listed phone number is (718) 484-8690.

What is Grandbrook Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Grandbrook Pharmacy Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., AvMed, Avera Health Plans and Baylor Scott and White Health Plan and 11 other insurers list Grandbrook Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grandbrook Pharmacy Inc was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.