Active NPI
Sutphin RX Inc
- Community/Retail Pharmacy
- Jamaica, NY
National Provider Identifier
1609637511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SUTPHIN RX INC
- Practice address
- 11315 Sutphin Blvd
Jamaica, NY 11435-5832 - Phone
- (718) 480-1016
- Fax
- (718) 480-1017
- NPI assigned
- Jan 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamad Cheaito
- Title
- Owner/SP
- Phone
- (718) 480-1016
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
11315 Sutphin Blvd
Jamaica, NY 11435-5832
Mailing address
11315 Sutphin Blvd
Jamaica, NY 11435-5832
Phone (718) 480-1016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250103001517 | NY | DME Supplier - Pharmacy | 2264871078 | Practice locations: Jamaica, NY |
National Provider Directory
National Provider DirectoryLocations
11315 Sutphin Blvd
Jamaica, NY 11435
Phone (718) 480-1016
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1336665157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1609637511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11315 SUTPHIN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114355832",
"telephone_number": "718-480-1016",
"fax_number": "718-480-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11315 SUTPHIN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114355832",
"telephone_number": "718-480-1016",
"fax_number": "718-480-1017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTPHIN RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-18",
"last_updated": "2024-03-15",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "CHEAITO",
"authorized_official_first_name": "MOHAMAD",
"authorized_official_title_or_position": "OWNER/SP",
"authorized_official_telephone_number": "718-480-1016"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
- Samir Sutaria, PHARMACIST
- Sutphin Care Pharmacy Inc (Akber Pharmacy)
- Sutphin Drugs, Inc. (briarwood pharmacy)
- Sutphin Optometry PC (Sutphin Eye Care)
- Sutphin Physical Therapy PC
- Theresa Monique Sutton
- Oksana Suyunov, RN
- Swadeshbd RX Inc (Queens Valley Pharmacy & Supermarket)
- Robert Swahn, RPH
- Amandeep Singh Swatch, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.