Grand Rx, LLC
NPI 1518854165ActiveOrganization· Pharmacy· Baldwin, NY
Pharmacy in Baldwin, New York, registered in NPPES in June 2025. The authorized official on file is Gavriel Iskhakbayev, Owner. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1518854165 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2025 |
| Last updated in NPPES | Jun 18, 2025 |
| Certified by provider | Jun 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NY); Part B Supplier - Mass Immunization (Roster Biller Only) (NY) |
|---|
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