Hendrix Pharma Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HENDRIX PHARMA CORP

Practice address

121 Lafayette Ave
Staten Island, NY 10301-1249

Phone

(925) 421-0301

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Ali ErfanNPI 1609752310

Title

Owner

Phone

(718) 524-7099

Specialties & licenses 1

Addresses

Other names 1

• HENDRIX PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Hendrix Pharma 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.

• Hendrix Pharma Corp

  • Long Term Care Pharmacy
  • Staten Island, NY
  • NPI 1962370957
  NPD tax ID

Practitioners 5

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

• Ali Tarektaha Erfan, PHARMD

  • Pharmacist
  • Staten Island, NY
  • NPI 1609752310
  NPD Authorized official
• Fredrick Charly Ayoub, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1659259869
  NPD
• Omar Dobie

  • Pharmacist
  • Staten Island, NY
  • NPI 1750985578
  NPD
• Maya Kfoury

  • Pharmacist
  • Staten Island, NY
  • NPI 1538982848
  NPD
• Muhammed Hashir Shafi, PHARMD

  • Pharmacist
  • Staten Island, NY
  • NPI 1154280253
  NPD (past)

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1386316909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LAFAYETTE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LAFAYETTE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011249",
            "telephone_number": "925-421-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRIX PHARMA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "ERFAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-524-7099"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENDRIX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HENDRIX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Heltzer, MD
• Deborah Lee Hendel
• April Leigh Henderson, LCSW
• Sameh Hendi
• Judith Ann Hendricks, MD
• Hendrix Pharma Corp
• Dayna Henn
• Mary-Anne Hennen, M.D.
• Sean Michael Hennessey, LMSW
• Mirlene Henrice

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.