Organization Active NPI

Wall Street Super Chemists Inc

Doing business as sherwood pharmacy

  • Community/Retail Pharmacy
  • Corona, NY
National Provider Identifier
1124254677
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029443 Issued in NY
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Usman KhanNPI 1104054568
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.