Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Avenue Pharmacy Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1760424055

Grand Avenue Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Maspeth, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

69 29 Grand Ave
Maspeth, NY 11378-1895
Phone: (718) 898-6882
Fax: (718) 898-2504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 012597 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1760424055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Terracciano — President Sup Rph · (718) 898-6882
Other names Grand Avenue Pharmacy Inc
NPI enumeratedJune 12, 2006
Last updated in NPPESApril 16, 2015
Mailing address69 29 Grand Ave, Maspeth, NY 11378-1895

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