SHP Park Slope LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHP PARK SLOPE LLC

Practice address

49 5TH Ave
Brooklyn, NY 11217-2043

Phone

(347) 943-8044

Fax

(347) 943-8066

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Sajed Rahman

Title

President

Phone

(347) 943-8044

Specialties & licenses 1

Addresses

Other names 1

• SUPER HEALTH PHARMACY PARK SLOPE Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1487396248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172043",
            "telephone_number": "347-943-8044",
            "fax_number": "347-943-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172043",
            "telephone_number": "347-943-8044",
            "fax_number": "347-943-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHP PARK SLOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "SAJED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-943-8044"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER HEALTH PHARMACY PARK SLOPE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUPER HEALTH PHARMACY PARK SLOPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniil Shoyfer, OTR/L
• Igor Shoykhet, RPH
• Marina Shoykhet, DDS
• Yevgeny Shoykhet, R.PH
• SHP Park Slope LLC
• Mikhail M. Shpak, D.O.
• Natasha G Shpak, RN
• Yakov Shpak
• Ilona Shpayzman, M.A. CCC-SLP
• Nadezda Shpichak

• 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 Jun 17, 2022; 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.