Shreeman Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035893 Issued in NY

Legal business name

SHREEMAN PHARMACY INC

Practice address

1105 Jericho Tpke
New Hyde Park, NY 11040-4603

Phone

(516) 775-7775

Fax

(516) 775-7773

NPI assigned

Nov 22, 2017

Last updated

Jan 24, 2018By 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

Lavanya Akula, RPH

Title

Owner/President/Pic/Ao

Phone

(516) 775-7775

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GENOME PHARMACY Other name

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1437663747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404603",
            "telephone_number": "516-775-7775",
            "fax_number": "516-775-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404603",
            "telephone_number": "516-775-7775",
            "fax_number": "516-775-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREEMAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "AKULA",
        "authorized_official_first_name": "LAVANYA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PIC/AO",
        "authorized_official_telephone_number": "516-775-7775",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENOME PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jasmin Shon
• Linda Shore-Lesserson, M.D.
• Barbara Shorter
• Shraddha Adhvaryu, Dentist, PC
• Michael Stuart Shreck, D.M.D.
• Lana Shteynman
• Samantha Shulman, AU.D.
• Gary Shum
• Helen Shum
• Gina Yi Siaw

• Community/Retail Pharmacy in New Hyde Park, NY
• Providers in New Hyde 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 Jan 24, 2018; 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.