Organization Active NPI

Sutter RX Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1497464630
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUTTER RX PHARMACY INC
Practice address
593 Sutter Ave
Brooklyn, NY 11207-4180
Phone
(347) 295-0209
NPI assigned
Nov 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Mr. Sheikh Moin Riaz
Title
President
Phone
(929) 400-5114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

593 Sutter Ave
Brooklyn, NY 11207-4180

Mailing address

593 Sutter Ave
Brooklyn, NY 11207-4180
Phone (347) 295-0208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230414000191 NY Part B Supplier - Pharmacy 9537534086 Practice locations: Brooklyn, NY
O20230905000691 NY DME Supplier - Pharmacy 9537534086 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Sutter RX Pharmacy Inc593 Sutter Ave, Brooklyn, NY 11207-4180(347) 295-0208 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 7, 2023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1497464630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074180",
            "telephone_number": "347-295-0208",
            "fax_number": "347-295-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074180",
            "telephone_number": "347-295-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "RIAZ",
        "authorized_official_first_name": "SHEIKH",
        "authorized_official_middle_name": "MOIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-400-5114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.