Organization Active NPI

WS 125 Greaves LN Corp

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1235955774
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WS 125 GREAVES LN CORP
Practice address
125N Greaves LN
Staten Island, NY 10308-2175
Phone
(718) 887-0022
Fax
(718) 887-0023
NPI assigned
Nov 30, 2024
Organization subpart
Yes
Parent organization
WS 125 GREAVES LN CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Wajdi AbuzahriehNPI 1073797155
Title
Owner
Phone
(718) 887-0022

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

125N Greaves LN
Staten Island, NY 10308-2175

Mailing address

125N Greaves LN
Staten Island, NY 10308-2175
Phone (718) 887-0022

Other names 1

  • GREAVES PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250507002426 NY DME Supplier - Pharmacy 8022546654 Practice locations: Staten Island, NY
O20251119000504 NY Part B Supplier - Pharmacy 8022546654 Practice locations: Staten Island, 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
WS 125 Greaves LN Corp125N Greaves LN, Staten Island, NY 10308-2175(718) 887-0022 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 7, 2025

National Provider Directory

National Provider Directory
Part of
WS 125 Greaves LN Corp

Locations

125 Greaves Ln
Staten Island, NY 10308
Phone (718) 502-8763

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": "1732924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1235955774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125N GREAVES LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082175",
            "telephone_number": "718-887-0022",
            "fax_number": "718-887-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125N GREAVES LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082175",
            "telephone_number": "718-887-0022",
            "fax_number": "718-887-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WS 125 GREAVES LN CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WS 125 GREAVES LN CORP",
        "enumeration_date": "2024-11-30",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "ABUZAHRIEH",
        "authorized_official_first_name": "WAJDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-887-0022"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAVES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GREAVES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.