Active NPI
Wall Street Super Chemists Inc
Doing business as sherwood pharmacy
- Community/Retail Pharmacy
- Corona, NY
National Provider Identifier
1124254677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 029443
- Legal business name
- WALL STREET SUPER CHEMISTS INC
- Doing business as
- sherwood pharmacy
- Practice address
- 9721 57TH Ave
Corona, NY 11368-3540 - Phone
- (718) 699-7700
- Fax
- (718) 699-7222
- NPI assigned
- Jun 10, 2009
- Last updated
- May 4, 2012
- 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
- Usman Khan
- Title
- President
- Phone
- (718) 699-7700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 029443 | NY | Primary |
Addresses
Primary practice location
9721 57TH Ave
Corona, NY 11368-3540
Mailing address
9721 57TH Ave
Corona, NY 11368-3540
Phone (718) 699-7700
Other names 1
- sherwood pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Corona, NY
- NPI 1104054568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336089600000",
"number": "1124254677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9721 57TH AVE",
"city": "CORONA",
"state": "NY",
"postal_code": "113683540",
"telephone_number": "718-699-7700",
"fax_number": "718-699-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9721 57TH AVE",
"city": "CORONA",
"state": "NY",
"postal_code": "113683540",
"telephone_number": "718-699-7700",
"fax_number": "718-699-7222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALL STREET SUPER CHEMISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-10",
"last_updated": "2012-05-04",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "USMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-699-7700"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "029443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "sherwood pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.