Chemist on Bay Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CHEMIST ON BAY INC

Practice address

690 Bay St
Staten Island, NY 10304-3890

Phone

(718) 374-5750

Fax

(718) 374-5751

NPI assigned

Sep 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Husam Farhoud, PHARM D

Title

Supervising Pharmacist

Phone

(347) 374-0430

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1306568175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CROAK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145640",
            "telephone_number": "347-374-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043890",
            "telephone_number": "718-374-5750",
            "fax_number": "718-374-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMIST ON BAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "FARHOUD",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "347-374-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "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": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SURESCRIPTS",
            "affiliation": "N",
            "endpointDescription": "SENDING AND RECEIVING PRESCRIPTIONS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "690 Bay St",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103043890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacey Ann Chavez
• Sharmayne Lashawn Chavis, LCSW
• Ron Chay, M.D.
• Yassah S Chea, RN
• Hima Bindu Cheedella
• Alice Chen, OT
• Chen Chen
• Chia Maou Chen, MD
• Chia-Jung James Chen, D.D.S.
• David K Chen, MD

• Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.