Organization Active NPI

Pharmahouserx, LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1629538020
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMAHOUSERX, LLC
Doing business as
FIRST CLASS RX
Practice address
5411 18TH Ave
Brooklyn, NY 11204-1928
Phone
(718) 331-3600
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Dinara Shermukhamedova
Title
Owner
Phone
(718) 502-6872

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

5411 18TH Ave
Brooklyn, NY 11204-1928

Mailing address

5411 18TH Ave
Brooklyn, NY 11204-1928
Phone (718) 502-6872

Other identifiers 1

IdentifierTypeStateIssuer
06463501MedicaidNY

Other names 1

  • FIRST CLASS RX Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201203001934 NY DME Supplier - Pharmacy 4688093040 Practice locations: Brooklyn, NY
O20250513003162 NY Part B Supplier - Pharmacy 4688093040 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1629538020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041928",
            "telephone_number": "718-502-6872",
            "fax_number": "718-502-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041928",
            "telephone_number": "718-331-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAHOUSERX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "SHERMUKHAMEDOVA",
        "authorized_official_first_name": "DINARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-502-6872"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06463501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST CLASS RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.

Verify at the official NPI Registry.