Moin & Siraj Group Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482688 Issued in PA

Legal business name

MOIN & SIRAJ GROUP PHARMACY INC

Doing business as

Qrx3 Pharmacy & Medical Supply

Practice address

962 E Tioga St
Philadelphia, PA 19134-1307

Phone

(267) 606-6363

Fax

(267) 606-6569

NPI assigned

Nov 4, 2016

Last updated

Apr 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Syed HasanNPI 1184160533

Title

President

Phone

(267) 809-2396

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Qrx3 Pharmacy & Medical Supply 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, and the practitioner matching its NPPES authorized official.

• Syed Raza Hasan, RPH

  • Pharmacist
  • Philadelphia, PA
  • NPI 1184160533
  NPD (past) Authorized official

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1407308620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 E TIOGA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341307",
            "telephone_number": "267-606-6363",
            "fax_number": "267-606-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 E TIOGA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341307",
            "telephone_number": "267-606-6363",
            "fax_number": "267-606-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOIN & SIRAJ GROUP PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-809-2396"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qrx3 Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Mohr
• Raymond Mohr, BA
• Adriane Mohring, CRNP
• Nancy A Mohsen, MD
• Nuverah Mohsin
• Emily Elizabeth Moin, MD
• Rownak Ibne Moin
• Roodlee Rheem Moisset, MS
• Jeffrey Jon Mojica, DO
• Ramon Mojica

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.