La Gran Farmacia Inc
NPI 1528604428ActiveOrganization· Pharmacy· Jackson Heights, NY
Pharmacy in Jackson Heights, New York, registered in NPPES in November 2019. The authorized official on file is Carlos Jimenez, Owner. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1528604428 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2019 |
| Last updated in NPPES | Mar 19, 2020 |
| Certified by provider | Mar 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NY) |
|---|
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