Organization Active NPI

Med Health Pharmacy Inc.

  • Pharmacy
  • Ridgewood, NY
National Provider Identifier
1003198706
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MED HEALTH PHARMACY INC.
Doing business as
ella pharmacy
Practice address
6061 Myrtle Ave
Ridgewood, NY 11385-5908
Phone
(718) 417-4154
Fax
(718) 417-4291
NPI assigned
Sep 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alisho Fattahov
Title
President
Phone
(917) 319-4132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NY Primary

Addresses

Primary practice location

6061 Myrtle Ave
Ridgewood, NY 11385-5908

Mailing address

6061 Myrtle Ave
Ridgewood, NY 11385-5908
Phone (718) 417-4154

Other names 1

  • ella pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1003198706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855908",
            "telephone_number": "718-417-4154",
            "fax_number": "718-417-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855908",
            "telephone_number": "718-417-4154",
            "fax_number": "718-417-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED HEALTH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "FATTAHOV",
        "authorized_official_first_name": "ALISHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-319-4132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ella pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.