NPIMap

Organization Active NPI

Sarah Pharmacy Inc.

  • Pharmacist
  • Corona, NY
National Provider Identifier
1659431930
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
035965 Issued in NY
Legal business name
SARAH PHARMACY INC.
Practice address
4018A Junction Blvd
Corona, NY 11368-2122
Phone
(718) 397-9510
NPI assigned
Dec 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mohammad AminullahNPI 1548418841
Title
S.P
Phone
(718) 397-9510

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)CodeLicenseStatePrimary
Pharmacist 183500000X 035965 NY Primary

Addresses

Primary practice location

4018A Junction Blvd
Corona, NY 11368-2122

Mailing address

4018A Junction Blvd
Corona, NY 11368-2122

Other identifiers 1

IdentifierTypeStateIssuer
01239165MedicaidNY

National Provider Directory

National Provider Directory

Locations

4018A Junction Blvd
Corona, NY 11368
Phone (718) 397-9510

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659431930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018A JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018A JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682122",
            "telephone_number": "718-397-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMINULLAH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "S.P",
        "authorized_official_telephone_number": "718-397-9510"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "035965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01239165",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.