S-a Drug Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

018290 Issued in NY

Legal business name

S-A DRUG CORP

Practice address

1612 Westchester Ave
Bronx, NY 10472-2915

Phone

(718) 378-0003

Fax

(718) 378-7192

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Sherin Awad, RPH

Title

Pic

Phone

(718) 378-0003

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LEPTIS Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1548367485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722915",
            "telephone_number": "718-378-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722915",
            "telephone_number": "718-378-0003",
            "fax_number": "718-378-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-A DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "SHERIN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "718-378-0003",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "018290",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3380994",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23122421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEPTIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.