# GRISTEDES FOODS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gristedes Pharmacy 555
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396722864
- **Authorized official:** MR. BARRY SHERMAN (VICE PRESIDENT)
- **Authorized official phone:** (917) 217-2789

## Contact information

- **Practice address:** 549 3RD AVE, NEW YORK, NY 10016-3501
- **Practice address phone:** (212) 679-4000
- **Practice address fax:** (212) 679-4212
- **Mailing address:** 549 3RD AVE, NEW YORK, NY 10016
- **Mailing address phone:** (212) 679-4000
- **Mailing address fax:** (212) 679-4212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 025444 | NY | Yes |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02380472 | — | NY |
| 01 | — | 3327156 | NCPDP | — |
| 01 | — | BG7970886 | DGA | — |