Active NPI
Shia Pharmacy Inc
- Compounding Pharmacy
- Long Island City, NY
National Provider Identifier
1679614697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 015882
- Legal business name
- SHIA PHARMACY INC
- Practice address
- 31 12 Broadway
Long Island City, NY 11106-2649 - Phone
- (718) 728-1212
- Fax
- (718) 274-6942
- NPI assigned
- Feb 11, 2007
- 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
- Syed Naqui
- Title
- Supervising Pharmacist
- Phone
- (718) 728-1212
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | 015882 | NY | Primary |
Addresses
Primary practice location
31 12 Broadway
Long Island City, NY 11106-2649
Mailing address
31 12 Broadway
Long Island City, NY 11106-2649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3364712 | Other | OTHER ID NUMBER |
Other names 1
- NORWOOD REXALL DRUGS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1679614697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 12 BROADWAY",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111062649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 12 BROADWAY",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111062649",
"telephone_number": "718-728-1212",
"fax_number": "718-274-6942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-11",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "NAQUI",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "718-728-1212"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NY",
"license": "015882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3364712",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NORWOOD REXALL DRUGS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.