Gold Street Pharma Inc
Community/Retail Pharmacy
111 Gold St, Brooklyn
New York, 11201-1551
718-855-1990 718-855-1995
Gold Street Pharma Inc is a Community/Retail Pharmacy in Brooklyn, New York. It is located at 111 Gold St, Brooklyn and it's customer support contact number is 718-855-1990. The authorized person of Gold Street Pharma Inc is Ravi Chenna who is President of the pharmacy and his contact number is 718-855-1990. Active license number of Gold Street Pharma Inc is 030409 for Community/Retail Pharmacy in New York. Gold Street Pharma Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Gold Street Pharma Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Gold Street Pharma Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Gold Street Pharma Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 111 Gold St, Brooklyn,
New York, 11201-1551 |
| Phone: | 718-855-1990 |
| Fax: | 718-855-1995 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ravi Chenna |
| Position: | President |
| Contact Number: | 718-855-1990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1225342165 |
| NPI Enumeration Date: | 03 Aug, 2010 |
| NPI Last Update On: | 21 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gold Street Pharma Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 030409 | New York | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2128748 | Other | | Pk |
| 3261709 | Medicaid | New York | |
Medicare Enrollment:
Gold Street Pharma Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4082898846 | O20110404000291 | Gold Street Pharma Inc | DME SUPPLIER - PHARMACY |
Products Available:
Gold Street Pharma Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 111 Gold St,
Brooklyn, New York |
| Zip: | 11201-1551 |
| Phone Number: | 718-855-1990 |
| Fax Number: | 718-855-1995 |
Patients can reach Gold Street Pharma Inc at
111 Gold St, Brooklyn, New York or can
call on customer care at 718-855-1990.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.