Surf Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028574 Issued in NY

Legal business name

SURF PHARMACY CORP

Practice address

3010 Mermaid Ave
Brooklyn, NY 11224-1806

Phone

(718) 373-2300

Fax

(718) 373-2230

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Usman A Rana

Title

President

Phone

(718) 373-2300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FAMILY DRUGSTORE Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Family Drugstore2 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.

• Surf Pharmacy Corp

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1952160137
  NPD tax ID

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1447439757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241806",
            "telephone_number": "718-373-2300",
            "fax_number": "718-373-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241806",
            "telephone_number": "718-373-2300",
            "fax_number": "718-373-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURF PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "USMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-373-2300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069818",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2928669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY DRUGSTORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sukrit Jushay Suresh, MBBS
• Surestep, Inc
• Surf Avenue Pharmacy Inc
• Surf Manor Hfa
• Surf Medical PC
• Surf Pharmacy Corp
• Surf&Turf Adult Day Care Inc.
• Surfpoint Recovery LLC
• Surfside Pharmacy LLC
• Tamara Claudine Surgeon

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Mar 18, 2024; 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.