# GRISTEDES OPERATING CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gristedes Pharmacy 52
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477530962
- **Authorized official:** MR. BARRY SHERMAN (VICE PRESIDENT)
- **Authorized official phone:** (917) 217-2789

## Contact information

- **Practice address:** 1356 LEXINGTON AVE, NEW YORK, NY 10128
- **Practice address phone:** (212) 722-0014
- **Practice address fax:** (212) 722-0514
- **Mailing address:** 1356 LEXINGTON AVE, NEW YORK, NY 10128
- **Mailing address phone:** (212) 722-0014
- **Mailing address fax:** (212) 722-0514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 024695 | NY | Yes |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05064588 | — | NY |
| 01 | — | 3313385 | NCPDP | — |