Skycare RX Pharmacy III, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SKYCARE RX PHARMACY III, INC.

Practice address

2236 Forest Ave
Stores 5
Staten Island, NY 10303

Phone

(718) 524-5885

Fax

(718) 524-5592

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed H Soliman, PHARMDNPI 1063171569

Title

Supervising Pharmacist

Phone

(917) 470-1542

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SkyCare Rx Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed Hammouda Soliman, PHARMD

  • Pharmacist
  • Staten Island, NY
  • NPI 1063171569
  NPD Authorized official
• Ramy Mohamed Elfeky, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Staten Island, NY
  • NPI 1467160200
  NPD

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1497416952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 FOREST AVE",
            "address_2": "STORES 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10303",
            "telephone_number": "718-524-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 FOREST AVE",
            "address_2": "STORES 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10303",
            "telephone_number": "718-524-5885",
            "fax_number": "718-524-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYCARE RX PHARMACY III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "917-470-1542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE BOARD OF PHARMACY",
            "identifier": "039295",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SkyCare Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SkyCare Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liudmila A Skudnov, DO
• Sara Jane Skurnick, DMD
• Sky Light Center Inc.
• Skycare RX Inc
• Skycare RX Pharmacy 4, Inc.
• Skycare RX Pharmacy, Inc.
• Natasha Slater, LMSW, ASW
• Sheeja Slattery, PT
• William Slattery
• McKinley Sledge Jr., NP

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, 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 Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.