Active NPI
Shifa Specialty Inc
- Community/Retail Pharmacy
- Latham, NY
National Provider Identifier
1053001362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SHIFA SPECIALTY INC
- Doing business as
- Shifa Pharmacy
- Practice address
- 385 Troy Schenectady Rd
Latham, NY 12110-3228 - Phone
- (518) 424-0323
- NPI assigned
- May 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raheel H Sulehri
- Title
- Owner/Manager
- Phone
- (518) 424-0323
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
385 Troy Schenectady Rd
Latham, NY 12110-3228
Mailing address
385 Troy Schenectady Rd
Latham, NY 12110-3228
Other names 1
- Shifa Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240219000212 | NY | Part B Supplier - Pharmacy | 1153765151 | Practice locations: Latham, NY |
| O20240523000934 | NY | DME Supplier - Pharmacy | 1153765151 | Practice locations: Latham, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Shifa Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Latham, NY
- NPI 1538954839
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Albany, NY
- NPI 1861829111
-
- Pharmacist
- Schenectady, NY
- NPI 1457107518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733961600000",
"number": "1053001362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 TROY SCHENECTADY RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 TROY SCHENECTADY RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103228",
"telephone_number": "518-424-0323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIFA SPECIALTY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-10",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A",
"authorized_official_last_name": "SULEHRI",
"authorized_official_first_name": "RAHEEL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "518-424-0323"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shifa Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Shifa Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.