Individual provider Active NPI

Alex Shen, PHARMD

  • Pharmacist
  • Briarcliff Manor, NY
National Provider Identifier
1326446337
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
058436 Issued in NY
Practice address
1864 Pleasantville Rd
Briarcliff Manor, NY 10510-1025
Phone
(914) 762-3136
NPI assigned
Dec 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 058436 NY Primary

Addresses

Primary practice location

1864 Pleasantville Rd
Briarcliff Manor, NY 10510-1025

Mailing address

8259 165TH St
Jamaica, NY 11432-1818
Phone (646) 413-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
058436NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Star Pharmacy Inc. Current Accepting new patients
Moses Pharmacy Inc. Current Accepting new patients
Leavitt Pharmacy Inc Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1326446337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 165TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321818",
            "telephone_number": "646-413-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 PLEASANTVILLE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101025",
            "telephone_number": "914-762-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "ALEX",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "058436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.