Organization Active NPI

Sa Pharmacy Inc

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1306399357
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034590 Issued in NY
Legal business name
SA PHARMACY INC
Practice address
2062 Clove Rd
Staten Island, NY 10304-1650
Phone
(917) 830-1499
Fax
(917) 830-1488
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Shabana Saeed
Title
President
Phone
(917) 480-1488

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 034590 NY Primary

Addresses

Primary practice location

2062 Clove Rd
Staten Island, NY 10304-1650

Mailing address

2062 Clove Rd
Staten Island, NY 10304-1650
Phone (917) 480-1488

Other identifiers 1

IdentifierTypeStateIssuer
2162437OtherPK

Other names 1

  • SA PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

2062 Clove Rd
Staten Island, NY 10304
Phone (718) 701-6650

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1306399357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041650",
            "telephone_number": "917-480-1488",
            "fax_number": "917-480-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041650",
            "telephone_number": "917-830-1499",
            "fax_number": "917-830-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "SAEED",
        "authorized_official_first_name": "SHABANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-480-1488"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SA PHARMACY INC",
            "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 Nov 8, 2016; 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.