MEDICARE: GSV PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center
2	332B00000X	Durable Medical Equipment & Medical Supplies	028914	NY
3	3336S0011X	Specialty Pharmacy
4	3336C0003X	Community/Retail Pharmacy	028914	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	028914	OTHER	NY	STATE LICENSE

General Provider Information

NPI Number	:	1699824524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GSV PHARMACY INC

Provider Business Mailing Address
First Line	:	4623 13TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2631
Country	:	US
Telephone Number	:	718-435-1118
Fax Number	:

Provider Business Practice Location Address
First Line	:	4623 13TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2631
Country	:	US
Telephone Number	:	718-435-1118
Fax Number	:	718-435-4908

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	MR. WILLIAM YANKOVICH
Credential	:
Telephone Number	:	718-435-1118

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	07/09/2020

Similar Medicare Providers

1881752244 — CLEAR-VIEW EYEWEAR
Practice Location Address:

4601 13TH AVE
BROOKLYN, NY
11219-2631

Practice Phone: 718-871-6880
Practice Fax:

1639234107 — ALAN SCHWARTZ O.D.
Practice Location Address:

4601 13TH AVE
BROOKLYN, NY
11219-2631

Practice Phone: 845-436-5577
Practice Fax: 845-436-5577

1083898423 — MR. RAJASHEKAR N SANNIDHI
Practice Location Address:

4623 13TH AVE
BROOKLYN, NY
11219-2631

Practice Phone: 718-435-1118
Practice Fax: 718-435-4908

1396981502 — OPTICA HALPERIN
Practice Location Address:

4607 13TH AVE
BROOKLYN, NY
11219-2631

Practice Phone: 718-484-7282
Practice Fax: 718-484-7283

1710509021 — SOULIER SHOES INC
Practice Location Address:

4601 13TH AVE
BROOKLYN, NY
11219-2631

Practice Phone: 718-337-8633
Practice Fax:

1124747431 — LINDA BANBAHJI
Practice Location Address:

4623 13TH AVE
BROOKLYN, NY
11219-2631

Practice Phone: 718-435-1118
Practice Fax:

Directions to “GSV PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.