Active NPI
David Saidov
- Pharmacist
- Forest Hills, NY
National Provider Identifier
1275855561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046113
- Practice address
- 6368 108TH St
Forest Hills, NY 11375-1609 - Phone
- (718) 275-6555
- NPI assigned
- Feb 27, 2010
- Last updated
- Sep 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 046113 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.