Organization Active NPI

Khadija Maheen Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Paterson, NJ
National Provider Identifier
1316458557
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KHADIJA MAHEEN PHARMACY INC
Practice address
17 W Broadway
Paterson, NJ 07505-1014
Phone
(973) 247-0786
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Authorized official

Name
Humaira Firdos SulehriNPI 1114103488
Title
President
Phone
(973) 247-0786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

17 W Broadway
Paterson, NJ 07505-1014

Mailing address

17 W Broadway
Paterson, NJ 07505-1014
Phone (973) 247-0786

Other identifiers 1

IdentifierTypeStateIssuer
0249645MedicaidNJ

Other names 1

  • CityRX Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cityrx Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17 W Broadway
Paterson, NJ 07505
Phone (973) 247-0786

7 W Broadway
Paterson, NJ 07505
Phone (973) 247-0786

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753574400000",
    "number": "1316458557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051014",
            "telephone_number": "973-247-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051014",
            "telephone_number": "973-247-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHADIJA MAHEEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "SULEHRI",
        "authorized_official_first_name": "HUMAIRA",
        "authorized_official_middle_name": "FIRDOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-247-0786"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249645",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CityRX Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; 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.