Active NPI
Aduwa Pharmacy Inc
- Pharmacy
- Jamaica, NY
National Provider Identifier
1518095827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 023542
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02633392 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Aduwa Pharmacy Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Jamaica, NY
- NPI 1326175266
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.
-
- Pharmacist
- Jamaica, NY
- NPI 1992029250
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
- Juliet Adom, MS.ED
- Roxanne Lovetta Alana Adonis, PNP
- Ernestina Aduening
- Adult Day Care Management LLC (Richmond Hill Social Adult Day Care)
- Aduwa Pharmacy Corp
- Advance Center for Psychotherapy
- Advanced Cardiac Medicine PC
- Advanced Center for Psychotherapy
- Advanced Counseling Concepts
- Advanced Medical Concepts PC
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.