Organization Active NPI

Sira Pharmacy LLC

Doing business as The Medicine Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Stamford, CT
National Provider Identifier
1659642718
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0001772 Issued in CT
Legal business name
SIRA PHARMACY LLC
Doing business as
The Medicine Shoppe Pharmacy
Practice address
296 Bedford St
Stamford, CT 06901-1720
Phone
(203) 327-4479
Fax
(203) 975-0427
NPI assigned
Jan 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Mayur Patel
Title
President
Phone
(203) 327-4479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0001772 CT Primary

Addresses

Primary practice location

296 Bedford St
Stamford, CT 06901-1720

Mailing address

296 Bedford St
Stamford, CT 06901-1720
Phone (203) 327-4479

Other identifiers 1

IdentifierTypeStateIssuer
2134351OtherPK

Other names 1

  • The Medicine Shoppe Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1327104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1659642718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 BEDFORD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011720",
            "telephone_number": "203-327-4479",
            "fax_number": "203-975-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 BEDFORD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011720",
            "telephone_number": "203-327-4479",
            "fax_number": "203-975-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-21",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-327-4479"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "0001772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.