Jai Sai Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

029808 Issued in NY

Legal business name

JAI SAI PHARMACY INC

Doing business as

Woodside Pharmacy

Practice address

4902 Queens Blvd
Woodside, NY 11377-4444

Phone

(718) 205-0550

Fax

(718) 205-0551

NPI assigned

Nov 3, 2009

Last updated

Mar 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prince Mistry

Title

Secretary

Phone

(201) 456-8418

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Woodside Pharmacy Doing business as

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1265769814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774444",
            "telephone_number": "718-205-0550",
            "fax_number": "718-205-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774444",
            "telephone_number": "718-205-0550",
            "fax_number": "718-205-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI SAI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "201-456-8418"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3363063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Woodside, NY
• Providers in Woodside, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.