Madina Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034224 Issued in NY

Legal business name

MADINA PHARMACY INC

Doing business as

Madina Pharmacy Inc.

Practice address

1105 Broadway St Ste 8
Buffalo, NY 14212-1511

Phone

(716) 242-2433

Fax

(716) 424-2434

NPI assigned

Jan 8, 2016

Organization subpart

No

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

Authorized official

Name

Mohammad KhanNPI 1861678567

Title

Vice President

Phone

(347) 260-9192

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Madina Pharmacy Inc. 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.

• Mohammad Delwar Khan, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1861678567
  NPD Authorized official
• Fathimathuz Zohra Yasin, PHARMD

  • Pharmacist
  • Buffalo, NY
  • NPI 1831814227
  NPD (past)

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1538525316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BROADWAY ST STE 8",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121511",
            "telephone_number": "716-242-2433",
            "fax_number": "716-424-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BROADWAY ST STE 8",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121511",
            "telephone_number": "716-242-2433",
            "fax_number": "716-424-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADINA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "347-260-9192"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madina Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abhiram Maddi, DDS
• Amanda Lee Madding, MSW
• Ayana Annette Maddox
• Stephanie Madeja, M.S. CCC-SLP
• Mohan Madhusudanan, M.D.
• Madison Geiser LCSW, PLLC
• Barbara Jane Madison, R.PH.
• M Jeffery Mador, MD
• Brian Madow, MD
• Chinasa Madumere

• Community/Retail Pharmacy in Buffalo, NY
• Providers in Buffalo, 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 Dec 12, 2016; 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.