Organization Active NPI

Supa Apna Pharmacy Inc

  • Pharmacy
  • Hicksville, NY
National Provider Identifier
1144864570
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SUPA APNA PHARMACY INC
Practice address
217 Bethpage Rd Unit 26
Hicksville, NY 11801-1519
Phone
(516) 595-7718
Fax
(516) 595-7719
NPI assigned
Oct 29, 2019
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Zentasha JahanzebNPI 1619675659
Title
Owner
Phone
(718) 827-8943

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)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

217 Bethpage Rd Unit 26
Hicksville, NY 11801-1519

Mailing address

217 Bethpage Rd Unit 26
Hicksville, NY 11801-1519
Phone (516) 595-7718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200519003020 NY DME Supplier - Pharmacy 0042641433 Practice locations: Hicksville, NY
O20220322000704 NY Part B Supplier - Pharmacy 0042641433 Practice locations: Hicksville, NY
O20260203002585 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0042641433 Practice locations: Hicksville, 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
Supa Apna Pharmacy Inc217 Bethpage Rd, Hicksville, NY 11801-1519(516) 595-7718 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 12, 2020

National Provider Directory

National Provider Directory

Locations

217 Bethpage Rd
#26
Hicksville, NY 11801
Phone (516) 595-7718

217 Bethpage Rd
Ste 26
Hicksville, NY 11801
Phone (516) 439-2781

217 Bethpage Rd
Unit 26
Hicksville, NY 11801
Phone (516) 595-7718

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": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1144864570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BETHPAGE RD UNIT 26",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011519",
            "telephone_number": "516-595-7718",
            "fax_number": "516-595-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BETHPAGE RD UNIT 26",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011519",
            "telephone_number": "516-595-7718",
            "fax_number": "516-595-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPA APNA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "JAHANZEB",
        "authorized_official_first_name": "ZENTASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-827-8943"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.