Active NPI
Sherihan Sedrak, PHARM. D
- Pharmacist
- Stamford, CT
National Provider Identifier
1598087637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28KJ03291800
- Practice address
- 910 Summer St
Stamford, CT 06905-5502 - Phone
- (203) 658-8229
- Fax
- (203) 658-8228
- NPI assigned
- Feb 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053547 | NY | |
| Pharmacist | 183500000X | PCT.0014041 | CT | |
| Pharmacist | 183500000X | 58090 | TX | |
| Pharmacist | 183500000X | 28KJ03291800 | NJ | Primary |
Addresses
Primary practice location
910 Summer St
Stamford, CT 06905-5502
Mailing address
6502 18TH Ave
Brooklyn, NY 11204-3702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053547 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
| PCT.0014041 | CT | MD | Pharmacist |
| 28KJ03291800 | NJ | MD | Pharmacist |
| 58090 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&S Chemists LLC | Current | Accepting new patients | |
| Loft Chemists LLC | Current | Accepting new patients |
Locations
910 Summer St
Stamford, CT 06905
Phone (203) 658-8229
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Stamford, CT
- NPI 1235640327
-
- Community/Retail Pharmacy
- Bridgeport, CT
- NPI 1417614033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1598087637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6502 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 SUMMER ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055502",
"telephone_number": "203-658-8229",
"fax_number": "203-658-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDRAK",
"first_name": "SHERIHAN",
"name_prefix": "Ms.",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-16",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053547",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0014041",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "58090",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28KJ03291800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.