Organization Active NPI

Shia Pharmacy Inc

  • Compounding Pharmacy
  • Long Island City, NY
National Provider Identifier
1679614697
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
015882 Issued in NY
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

Updated by the provider on Mar 13, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3364712OtherOTHER ID NUMBER

Other names 1

  • NORWOOD REXALL DRUGS Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.