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GRAND STREET PHARMACY
NPI 1366893851
Pharmacy in Paterson, NJ

Active since June 26, 2016
351 GRAND ST, PATERSON, NJ 07505(973) 374-6480(973) 374-6730 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 4, 2022, Jan 19, 2022, Jan 17, 2017 and 3 more (6 updates tracked since 2016).

About Grand Street Pharmacy NPPES

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

GRAND STREET PHARMACY (NPI 1366893851) is a healthcare organization registered as a pharmacy in Paterson, New Jersey and active in the NPI registry since June 2016. The organization lists Ramesh Gajjar, Owener, as its authorized official.

NPPES Registry Identity

NPI1366893851
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGRAND STREET PHARMACY LLC
Location Address351 GRAND STPaterson, NJ 07505-2034
Mailing Address351 Grand StPaterson, NJ 07505-2034 · (973) 898-9800 · Fax (973) 379-9067
Phone(973) 374-6480
Fax(973) 374-6730
Organization SubpartNo
Authorized OfficialRamesh GajjarOwener · (973) 898-9800
Enumeration DateJune 26, 2016
Last NPPES UpdateApril 4, 20226 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
✔ NPI 1366893851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · 28RS00751800
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
351 GRAND ST, Paterson, NJ 07505
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Other Names 2

Doing Business AsGrand Street Pharmacy
Doing Business AsNikky's Pharmacy Llc

Other Identifiers 1

Other2165963Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grand Street Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20231110001235DME · PharmacyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Grand Street Pharmacy carries, from the Medicare DMEPOS supplier directory.

Grand Street Pharmacy

DMEPOS supplier · Paterson, NJOperated by Grand Street Pharmacy LLC
✔

Accepts Medicare assignment

Grand Street Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20348525
Medicare Participant SinceJuly 2, 2022
Supplier Location351 Grand StPaterson, NJ 07505
Phone(973) 899-9800
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Grand Street Pharmacy LLC's NPI number?

The NPI number for Grand Street Pharmacy LLC is 1366893851. It was assigned to this organization in the NPPES registry on June 26, 2016. The provider is doing business as Grand Street Pharmacy and Nikky's Pharmacy LLC.

Where is Grand Street Pharmacy LLC located?

Grand Street Pharmacy LLC is located at 351 Grand St, Paterson, NJ 07505. The listed phone number is (973) 374-6480.

What is Grand Street Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Is Grand Street Pharmacy LLC enrolled in Medicare?

Yes. Grand Street Pharmacy LLC is registered in the Medicare PECOS enrollment system.

When is Grand Street Pharmacy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Pharmacy) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Grand Street Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Grand Street Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Grand Street Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 45 other insurers list Grand Street Pharmacy LLC 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 Grand Street Pharmacy LLC was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.