Organization Active NPI

Indaaz Inc.

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1013344936
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032270 Issued in NY
Legal business name
INDAAZ INC.
Practice address
16901 Hillside Ave
Jamaica, NY 11432-4434
Phone
(718) 739-0311
Fax
(718) 739-0999
NPI assigned
Oct 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Ms. Shruthi Ravi, RPH
Title
Pharmacy Manager / Pharmacist
Phone
(718) 739-0311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 032270 NY Primary

Addresses

Primary practice location

16901 Hillside Ave
Jamaica, NY 11432-4434

Mailing address

16901 Hillside Ave
Jamaica, NY 11432-4434
Phone (718) 739-0311

Other identifiers 1

IdentifierTypeStateIssuer
03793919MedicaidNY

Other names 1

  • ESTATES PHARMACY & SURGICAL SUPPLIES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20140319000469 NY DME Supplier - Pharmacy 1456582311 Practice locations: Jamaica, NY
O20210119001559 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1456582311 Practice locations: Jamaica, NY
O20211008001139 NY Part B Supplier - Pharmacy 1456582311 Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory
Tax ID family
Estates Pharmacy Surgical Supplies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16901 Hillside Ave
Jamaica, NY 11432
Phone (718) 739-0311

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1013344936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16901 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324434",
            "telephone_number": "718-739-0311",
            "fax_number": "718-739-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16901 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324434",
            "telephone_number": "718-739-0311",
            "fax_number": "718-739-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDAAZ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "SHRUTHI",
        "authorized_official_title_or_position": "PHARMACY MANAGER / PHARMACIST",
        "authorized_official_telephone_number": "718-739-0311",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03793919",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESTATES PHARMACY & SURGICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ESTATES PHARMACY & SURGICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.