Organization Active NPI

Sleepy Hollow Pharmacy Inc

  • Community/Retail Pharmacy
  • Sleepy Hollow, NY
National Provider Identifier
1003920083
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025674 Issued in NY
Legal business name
SLEEPY HOLLOW PHARMACY INC
Practice address
95 Beekman Ave
Ste D
Sleepy Hollow, NY 10591-2549
Phone
(914) 366-4000
Fax
(914) 366-4036
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Kamran KhanNPI 1417194275
Title
President
Phone
(914) 366-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 025674 NY Primary

Addresses

Primary practice location

95 Beekman Ave
Ste D
Sleepy Hollow, NY 10591-2549

Mailing address

PO Box 529
Highland Mills, NY 10930-0529

Other identifiers 2

IdentifierTypeStateIssuer
02388407MedicaidNY
2059410OtherPK

Other names 1

  • SLEEPY HOLLOW PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210127002108 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9739395500 Practice locations: Sleepy Hollow, NY

National Provider Directory

National Provider Directory

Locations

95 Beekman Ave
Ste D
Sleepy Hollow, NY 10591
Phone (914) 366-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1003920083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109300529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BEEKMAN AVE",
            "address_2": "STE D",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912549",
            "telephone_number": "914-366-4000",
            "fax_number": "914-366-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPY HOLLOW PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-366-4000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02388407",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLEEPY HOLLOW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SLEEPY HOLLOW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sleepy Hollow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.