Organization Active NPI

Mercy Pharmacy &Surgical Supplies, Inc

  • Community/Retail Pharmacy
  • Woodside, NY
National Provider Identifier
1144641325
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032378 Issued in NY
Legal business name
MERCY PHARMACY &SURGICAL SUPPLIES, INC
Practice address
30100 51St St
Woodside, NY 11377-1457
Phone
(718) 204-0026
Fax
(718) 204-0974
NPI assigned
Dec 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Mr. Ahmad Saramah
Title
Owner
Phone
(718) 204-0026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 032378 NY Primary

Addresses

Primary practice location

30100 51St St
Woodside, NY 11377-1457

Mailing address

30100 51St St
Woodside, NY 11377-1457
Phone (718) 204-0026

Other identifiers 2

IdentifierTypeStateIssuer
03906136MedicaidNY
032378OtherNYNYS PHARMACY LICENSE #032378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140804001158 NY DME Supplier - Pharmacy 9739306457 Practice locations: Woodside, NY
O20210107000949 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9739306457 Practice locations: Woodside, 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
Mercy Pharmacy & Surgical Supplies30100 51St St, Woodside, NY 11377-1457(718) 204-0026 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 17, 2014

National Provider Directory

National Provider Directory

Locations

30100 51st St
Woodside, NY 11377
Phone (718) 204-0026

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": "1386979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1144641325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 51ST ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771457",
            "telephone_number": "718-204-0026",
            "fax_number": "718-204-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 51ST ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771457",
            "telephone_number": "718-204-0026",
            "fax_number": "718-204-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHARMACY &SURGICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-14",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "SARAMAH",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-204-0026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03906136",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PHARMACY LICENSE #032378",
            "identifier": "032378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.