Organization Active NPI

Ismaeel Pharmacy Inc

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1609351956
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ISMAEEL PHARMACY INC
Practice address
280 Broadway # Store1
Staten Island, NY 10310-2055
Phone
(718) 273-6606
Fax
(718) 273-6637
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Safia Nazir Ahmad
Title
Owner
Phone
(718) 273-6606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

280 Broadway # Store1
Staten Island, NY 10310-2055

Mailing address

280 Broadway # Store1
Staten Island, NY 10310-2055
Phone (718) 273-6606

Other identifiers 1

IdentifierTypeStateIssuer
06075850MedicaidNY

Other names 1

  • Brighton Community Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200122000912 NY DME Supplier - Pharmacy 7113352113 Practice locations: Staten Island, NY
O20240719001511 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7113352113 Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Ismaeel Pharmacy Inc280 Broadway, Staten Island, NY 10310(718) 273-6606 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Dec 2, 2019

National Provider Directory

National Provider Directory

Locations

280 Broadway
Ste 1
Staten Island, NY 10310
Phone (718) 273-6606

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1609351956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BROADWAY # STORE1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102055",
            "telephone_number": "718-273-6606",
            "fax_number": "718-273-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BROADWAY # STORE1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102055",
            "telephone_number": "718-273-6606",
            "fax_number": "718-273-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMAEEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SAFIA",
        "authorized_official_middle_name": "NAZIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-273-6606"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06075850",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brighton Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.