Organization Active NPI

Aduwa Pharmacy Inc

  • Pharmacy
  • Jamaica, NY
National Provider Identifier
1518095827
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
023542 Issued in NY
Legal business name
ADUWA PHARMACY INC
Practice address
114-10 Sutphin Blvd.
Jamaica, NY 11434
Phone
(178) 322-9709
Fax
(718) 322-5115
NPI assigned
Feb 28, 2007
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Peter M Pervaz
Title
Manager
Phone
(718) 322-9709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 023542 NY Primary

Addresses

Primary practice location

114-10 Sutphin Blvd.
Jamaica, NY 11434

Mailing address

114-10 Sutphin Blvd
Jamaica, NY 11434
Phone (178) 322-9709

Other identifiers 1

IdentifierTypeStateIssuer
02633392MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Aduwa Pharmacy Corp2 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

11410 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 322-9709

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1518095827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114-10 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "178-322-9709",
            "fax_number": "718-322-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114-10 SUTPHIN BLVD.",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "178-322-9709",
            "fax_number": "718-322-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADUWA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "PERVAZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-322-9709"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02633392",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.