Individual provider Active NPI

David Saidov

  • Pharmacist
  • Forest Hills, NY
National Provider Identifier
1275855561
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046113 Issued in NY
Practice address
6368 108TH St
Forest Hills, NY 11375-1609
Phone
(718) 275-6555
NPI assigned
Feb 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 046113 NY Primary

Addresses

Primary practice location

6368 108TH St
Forest Hills, NY 11375-1609

Mailing address

6414 108TH St
Forest Hills, NY 11375-1604
Phone (718) 275-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046113NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DJ Drug Corp. Current Accepting new patients
DJ Drug Corp. Current Accepting new patients

Locations

6368 108th St
Forest Hills, NY 11375
Phone (718) 275-6555

6414 108th St
Forest Hills, NY 11375
Phone (718) 275-6555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1275855561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751604",
            "telephone_number": "718-275-6555",
            "fax_number": "718-228-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6368 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751609",
            "telephone_number": "718-275-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIDOV",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-27",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.