Organization Active NPI

Balaji Targee Pharmacy Inc

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1114090370
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
018478 Issued in NY
Legal business name
BALAJI TARGEE PHARMACY INC
Practice address
519 Targee St
Staten Island, NY 10304-3501
Phone
(718) 720-7205
Fax
(718) 981-1512
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Irshad SheikhNPI 1518023779
Title
Pharmacy Supervisor
Phone
(718) 720-7205

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 018478 NY Primary

Addresses

Primary practice location

519 Targee St
Staten Island, NY 10304-3501

Mailing address

519 Targee St
Staten Island, NY 10304-3501
Phone (718) 720-7205

Other identifiers 2

IdentifierTypeStateIssuer
2062350OtherPK
00875672MedicaidNY

Other names 1

  • BALAJI TARGEE PHARMACY CORP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930045334 NY DME Supplier - Pharmacy 2466654652 Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Balaji Targee Pharmacy Inc519 Targee St, Staten Island, NY 10304-3501(718) 720-7205 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Parenteral Nutrients|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Dec 30, 2005

National Provider Directory

National Provider Directory

Locations

519 Targee St
Staten Island, NY 10304
Phone (718) 698-0632

Practitioners & affiliated clinicians

Practitioners 2

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1114090370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 TARGEE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043501",
            "telephone_number": "718-720-7205",
            "fax_number": "718-981-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 TARGEE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043501",
            "telephone_number": "718-720-7205",
            "fax_number": "718-981-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALAJI TARGEE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "IRSHAD",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "718-720-7205"
    },
    "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": "018478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062350",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00875672",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BALAJI TARGEE PHARMACY CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.