Organization Active NPI

Aduwa Pharmacy Corp

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1326175266
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023542 Issued in NY
Legal business name
ADUWA PHARMACY CORP
Practice address
114 10 Sutphin Blvd
Jamaica, NY 11434
Phone
(718) 322-9709
Fax
(718) 322-5115
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Raheel Pervez
Title
President
Phone
(718) 322-9709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 023542 NY Primary

Addresses

Primary practice location

114 10 Sutphin Blvd
Jamaica, NY 11434

Mailing address

114 10 Sutphin Blvd
Jamaica, NY 11434

Other identifiers 2

IdentifierTypeStateIssuer
3336117OtherOTHER ID NUMBER
02633392MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Aduwa Pharmacy Corp2 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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1326175266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 10 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 10 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "718-322-9709",
            "fax_number": "718-322-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADUWA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "PERVEZ",
        "authorized_official_first_name": "RAHEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-322-9709"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3336117",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02633392",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.