Myrtle Drugs Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

17 030898 Issued in NY

Legal business name

MYRTLE DRUGS INC

Practice address

5518 Myrtle Ave
Ridgewood, NY 11385-3551

Phone

(718) 366-6171

Fax

(718) 366-6082

NPI assigned

Sep 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Houssam A Nasser, PHARM DNPI 1548445661

Title

President

Phone

(347) 419-6737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Houssam A Nasser, PHARM D

  • Pharmacist
  • Ridgewood, NY
  • NPI 1548445661
  NPD Authorized official
• Shereen Tharwat Kostandy Melika, RPH

  • Pharmacist
  • Ridgewood, NY
  • NPI 1689136053
  NPD (past)
• Mohamed Said Mohamed, RPH

  • Pharmacist
  • Bronx, NY
  • NPI 1912445008
  NPD (past)

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1295017994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853551",
            "telephone_number": "718-366-6171",
            "fax_number": "718-366-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5518 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853551",
            "telephone_number": "718-366-6171",
            "fax_number": "718-366-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "HOUSSAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-419-6737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "17 030898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Munoz, CASAC-ADV, BA
• Nicole Marie Murphy, PA-C
• Kyle E Murray, RD
• Muhammad Sohail Mushtaq
• Mychattherapist LCSW PLLC
• Myuy Inc
• N L Rivera-de Jesus, Msed, Inc.
• Kristen Sima Naletilic
• Asim Naqvi
• Narinder Kukar Physician P C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.