Organization Active NPI

Khadija Maheen Pharmacy Inc

Doing business as CityRx Pharmacy

  • Pharmacy
  • Paterson, NJ
National Provider Identifier
1487984043
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00700800 Issued in NJ
Legal business name
KHADIJA MAHEEN PHARMACY INC
Doing business as
CityRx Pharmacy
Practice address
17 W Broadway
Paterson, NJ 07505-1014
Phone
(973) 247-0786
Fax
(973) 247-1786
NPI assigned
Jan 5, 2010
Last updated
Jul 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Authorized official

Name
Humaira Sulehri, PHRMDNPI 1114103488
Title
President / Pic
Phone
(973) 247-0786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X 28RS00700800 NJ Primary
Community/Retail Pharmacy 3336C0003X NU
Mail Order Pharmacy 3336M0002X NU
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

17 W Broadway
Paterson, NJ 07505-1014

Mailing address

17 W Broadway
Paterson, NJ 07505-1014
Phone (973) 247-0786

Other identifiers 3

IdentifierTypeStateIssuer
0245810MedicaidNJ
0249645MedicaidNJ
2123368OtherPK

Other names 1

  • CityRx Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101004001172 NJ DME Supplier - Pharmacy 4284826603 Practice locations: Paterson, NJ
O20201216001418 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 4284826603 Practice locations: Paterson, NJ

National Provider Directory

National Provider Directory
Tax ID family
Cityrx Pharmacy2 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.

Locations

17 W Broadway
Paterson, NJ 07505
Phone (973) 247-0786

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753574400000",
    "number": "1487984043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051014",
            "telephone_number": "973-247-0786",
            "fax_number": "973-247-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051014",
            "telephone_number": "973-247-0786",
            "fax_number": "973-247-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHADIJA MAHEEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "SULEHRI",
        "authorized_official_first_name": "HUMAIRA",
        "authorized_official_title_or_position": "PRESIDENT / PIC",
        "authorized_official_telephone_number": "973-247-0786",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00700800",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245810",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249645",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CityRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; 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.