Grand Street Pharmacy LLC
NPI 1366893851 · Pharmacy · Paterson, NJ
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Street Pharmacy LLC is a Pharmacy organization in Paterson, NJ (NPI 1366893851).
Provider details
- NPI number
- 1366893851
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ramesh Gajjar, Owener(973) 898-9800
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- Grand Street Pharmacy
- Doing business as
- Nikky'S Pharmacy LLC
Registry dates
- Enumerated
- 2016-06-26
- Last updated
- 2022-04-04
- Certified
- 2022-04-04
Frequently asked questions
- What is Grand Street Pharmacy LLC's NPI number?
- Grand Street Pharmacy LLC's National Provider Identifier (NPI) is 1366893851, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Street Pharmacy LLC?
- Grand Street Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Grand Street Pharmacy LLC located?
- Grand Street Pharmacy LLC's practice location on file with NPPES is 351 Grand St, Paterson, NJ 07505-2034.
- What is Grand Street Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Street Pharmacy LLC is (973) 374-6480.
- Does Grand Street Pharmacy LLC accept Medicare?
- Grand Street Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Street Pharmacy LLC?
- The authorized official listed on Grand Street Pharmacy LLC's NPPES record is Ramesh Gajjar, Owener. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Street Pharmacy LLC's NPI active?
- Yes — Grand Street Pharmacy LLC's NPI (1366893851) is active in the NPPES registry as of the last update on 2022-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.