Usha Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

019594 Issued in NY

Legal business name

USHA PHARMACY INC

Doing business as

Wil Mark Pharmacy

Practice address

2120 Deer Park Ave
Deer Park, NY 11729-1306

Phone

(631) 586-0045

Fax

(631) 586-0048

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Vinod ShahNPI 1780744185

Title

Pharmacist

Phone

(631) 586-0045

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WIL MARK PHARMACY Doing business as

Locations

Practitioners 1

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

• Vinod F Shah

  • Pharmacist
  • Deer Park, NY
  • NPI 1780744185
  NPD (past) Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1396777918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291306",
            "telephone_number": "631-586-0045",
            "fax_number": "631-586-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291306",
            "telephone_number": "631-586-0045",
            "fax_number": "631-586-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USHA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "631-586-0045"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01047341",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3303714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WIL MARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Deer Park, NY
• Providers in Deer Park, 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 Jun 8, 2010; 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.