Organization Active NPI

Ellahi Drugs Inc

  • Pharmacist
  • Ridgewood, NY
National Provider Identifier
1154404507
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
023159 Issued in NY
Legal business name
ELLAHI DRUGS INC
Practice address
321 Wyckoff Ave
Ridgewood, NY 11385-2753
Phone
(718) 417-0200
Fax
(718) 417-4481
NPI assigned
Oct 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Mr. Asif Noor, RPHNPI 1649502097
Title
Pharmacist
Phone
(718) 417-0200

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 023159 NY Primary

Addresses

Primary practice location

321 Wyckoff Ave
Ridgewood, NY 11385-2753

Mailing address

321 Wyckoff Ave
Ridgewood, NY 11385-2720
Phone (718) 417-0200

Other identifiers 1

IdentifierTypeStateIssuer
01705802MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930087092 NY DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Oxygen & Equipment 7214141274 Practice locations: Ridgewood, NY
O20210331001211 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7214141274 Practice locations: Ridgewood, 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
Shawn Pharmacy321 Wyckoff Ave, Ridgewood, NY 11385-2720(718) 417-0200 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Breast Prostheses and/or Accessories|Ostomy Supplies|Enteral Nutrients|Parenteral Nutrients|Nebulizer Equipment and/or… Accepts assignmentParticipating since Jul 23, 2002

National Provider Directory

National Provider Directory
Tax ID family
Ellahi Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1154404507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 WYCKOFF AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852720",
            "telephone_number": "718-417-0200",
            "fax_number": "718-417-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 WYCKOFF AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852753",
            "telephone_number": "718-417-0200",
            "fax_number": "718-417-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLAHI DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "NOOR",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-417-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "023159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01705802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.