Ezmeds Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EZMEDS PHARMA INC

Doing business as

Pharmacy on Wheels

Practice address

2110 Richmond Rd Ste G
Staten Island, NY 10306-2572

Phone

(718) 351-7363

Fax

(718) 351-4972

NPI assigned

Jan 13, 2025

Last updated

Jan 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Waseem Ahmed Sadiq Ali

Title

President

Phone

(718) 351-7363

Specialties & licenses 1

Addresses

Other names 1

• PHARMACY ON WHEELS Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Regina Lakhter

  • Pharmacist
  • Staten Island, NY
  • NPI 1598933343
  NPD (past)

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1659181311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 RICHMOND RD STE G",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062572",
            "telephone_number": "718-351-7363",
            "fax_number": "718-351-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 RICHMOND RD STE G",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062572",
            "telephone_number": "718-351-7363",
            "fax_number": "718-351-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZMEDS PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "WASEEM",
        "authorized_official_middle_name": "AHMED SADIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-351-7363"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY ON WHEELS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Ezadhe
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• Jideobi Y Ezeonu, OTR/L
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• Maab Ezz Aldeen
• Azza A Ezzat, N.P
• Nicole Marie Ezzo
• Susanne Marie Fabiano

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, 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 Jan 13, 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.