Organization Active NPI

Sri Pharmacy, Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1174510192
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
027440 Issued in NY
Legal business name
SRI PHARMACY, INC
Practice address
2109 Nostrand Ave
Brooklyn, NY 11210-3001
Phone
(718) 421-3600
Fax
(718) 434-4341
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Waqar Yussouf, RPH
Title
President/ Pharmacist
Phone
(718) 421-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 027440 NY Primary

Addresses

Primary practice location

2109 Nostrand Ave
Brooklyn, NY 11210-3001

Mailing address

2109 Nostrand Ave
Brooklyn, NY 11210-3001
Phone (718) 421-3600

Other identifiers 1

IdentifierTypeStateIssuer
02664602MedicaidNY

Other names 1

  • JUNCTION PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1174510192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103001",
            "telephone_number": "718-421-3600",
            "fax_number": "718-434-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103001",
            "telephone_number": "718-421-3600",
            "fax_number": "718-434-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "YUSSOUF",
        "authorized_official_first_name": "WAQAR",
        "authorized_official_title_or_position": "PRESIDENT/ PHARMACIST",
        "authorized_official_telephone_number": "718-421-3600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02664602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUNCTION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.