Shepherd Ave Drug Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021083 Issued in NY

Legal business name

SHEPHERD AVE DRUG INC.

Doing business as

bennett's pharmacy

Practice address

990 Sutter Ave
Brooklyn, NY 11208-3534

Phone

(718) 277-0800

Fax

(718) 235-3535

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Anup Rakhit

Title

President

Phone

(718) 277-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• bennett's pharmacy Doing business as

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vani Persaud

  • Pharmacist
  • Brooklyn, NY
  • NPI 1093575219
  NPD (past)
• Vijayaraghavan N Poondi, R.PH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1740505981
  NPD (past)
• Vinode P Ramprashad, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1245552082
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588714547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083534",
            "telephone_number": "718-277-0800",
            "fax_number": "718-235-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083534",
            "telephone_number": "718-277-0800",
            "fax_number": "718-235-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD AVE DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAKHIT",
        "authorized_official_first_name": "ANUP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-277-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01257345",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bennett's pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Shepard
• Lani A Shepard, CPS
• Mary Jane Shepard
• Michelle Shepard, MS
• Tristan Shepard
• Leiala Kaye Shepherd-Soucy
• Dessa Tamara Shepherd
• Latasha Patrina Shepherd, FNP
• Marlene P Shepherd
• Michelle F. Shepherd, M.A.

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.