OrganizationActive
Gotham Pharmacy Inc
NPI 1093050445 · Community/Retail Pharmacy · New York, NY
Provider details
- NPI number
- 1093050445
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Betty Grullon, President(347) 739-2840
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2258 3rd Ave
(corner of E 123rd St and 3rd Ave)
New York, NY 10035-2208
Phone: (212) 289-7800
Fax: (212) 289-7806
Street-level locationGet directions
Mailing address
2258 3rd Ave
New York, NY 10035-2208
Registry dates
- Enumerated
- 2012-12-11
- Last updated
- 2013-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.