SJS Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

014956 Issued in NY

Legal business name

SJS PHARMACY INC

Doing business as

SJS Pharmacy Inc

Practice address

105-107 E Burnside Ave
Bronx, NY 10453-4142

Phone

(718) 933-1222

Fax

(718) 933-1255

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Edward Ilyaich

Title

Owner

Phone

(718) 933-1222

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SJS PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

SJS Pharmacy 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.

• SJS Pharmacy Inc

  dba SJS Pharmacy LTC

  • Long Term Care Pharmacy
  • Bronx, NY
  • NPI 1073438818
  NPD tax ID

Locations

Practitioners 3

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.

• Sameen Amjad

  • Pharmacist
  • Bronx, NY
  • NPI 1871372250
  NPD (past)
• Melissa Daddino

  • Pharmacist
  • Bronx, NY
  • NPI 1881182285
  NPD (past)
• Patrick J Daddino, PHARMACIST

  • Pharmacist
  • Bronx, NY
  • NPI 1952530081
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1174616502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105-107 E BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534142",
            "telephone_number": "718-933-1222",
            "fax_number": "718-933-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105-107 E BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534142",
            "telephone_number": "718-933-1222",
            "fax_number": "718-933-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "ILYAICH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-933-1222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "014956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3349897",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00264659",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SJS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nadiya Sivin-Kachala
• Sixth Sense Medicine PC
• Raneen Siyam
• Bachor Siyvnova
• SJS Pharmacy Inc (SJS Pharmacy LTC)
• Ska Therapeutic Services LLC
• Catherine C Skae, MD
• Aviva Skaist, RN
• Karin Alexandra Skalina, MD, PHD
• Yevgeniy Skaradinskiy

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.