Organization
IMAGE HEIGHTS PHARMACY
Active
Other names
Image Heights Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRINMAN (VICE PRESIDENT)
(917) 376-4016
Entity
Organization
Contact information
Practice address
7501 37TH AVE, JACKSON HEIGHTS, NY 11372-6537
(718) 424-0100
(718) 424-5044
Mailing address
7501 37TH AVE, JACKSON HEIGHTS, NY 11372-6537
(718) 424-0100
(718) 424-5044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029689
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121218
PK
—
05
—
3161213
—
NY
Enumeration date
07/24/2009
Last updated
09/19/2025
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