Individual provider Active NPI

Sadorathon Orifzoda, PHARMD

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1407567175
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
069612 Issued in NY
Practice address
1109 Coney Island Ave
Brooklyn, NY 11230-2305
Phone
(718) 434-4649
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 069612 NY Primary

Addresses

Primary practice location

1109 Coney Island Ave
Brooklyn, NY 11230-2305

Mailing address

1332 Coney Island Ave
Brooklyn, NY 11230-3521

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
069612NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Raavi Corporation CurrentSince Dec 18, 2022 Accepting new patients
Sayora Pharmacy LLC Pharmacist CurrentSince Jul 31, 2023 Accepting new patients
Siddiqui Corporation PastSince Dec 18, 2022 Accepting new patients

Locations

1109 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 434-4649

1332 Coney Island Ave
Brooklyn, NY 11230
Phone (347) 240-2111

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1407567175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302305",
            "telephone_number": "718-434-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIFZODA",
        "first_name": "SADORATHON",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.