Organization Active NPI

Skycare RX Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1366048837
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SKYCARE RX PHARMACY, INC.
Practice address
221 Broad St
Staten Island, NY 10304-2057
Phone
(718) 682-1311
Fax
(718) 682-7533
NPI assigned
Dec 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Ramy Mohamed ElfekyNPI 1467160200
Title
Owner
Phone
(646) 764-0224

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

221 Broad St
Staten Island, NY 10304-2057

Mailing address

221 Broad St
Staten Island, NY 10304-2057
Phone (718) 682-1533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230117000166 NY Part B Supplier - Pharmacy 0345611109 Practice locations: Staten Island, NY
O20230221003353 NY DME Supplier - Pharmacy 0345611109 Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Skycare RX Pharmacy Inc221 Broad St, Staten Island, NY 10304-2057(718) 682-1332 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 26, 2026

National Provider Directory

National Provider Directory

Locations

221 Broad St
Staten Island, NY 10304
Phone (718) 682-1332

Practitioners & affiliated clinicians

Practitioners 2

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": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1366048837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042057",
            "telephone_number": "718-682-1533",
            "fax_number": "718-382-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042057",
            "telephone_number": "718-682-1311",
            "fax_number": "718-682-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYCARE RX PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "MOHAMED ELFEKY",
        "authorized_official_first_name": "RAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-764-0224"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 9, 2020; 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.