Individual provider Active NPI

Sajid Ijaz Shah, RPH

  • Pharmacist
  • New York, NY
National Provider Identifier
1780795922
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
031983 Issued in NY
Practice address
1367 Broadway
Sams Drugs Brooklyn
New York, NY 11797
Phone
(718) 453-6866
Fax
(718) 452-2686
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 031983 NY Primary

Addresses

Primary practice location

1367 Broadway
Sams Drugs Brooklyn
New York, NY 11797

Mailing address

369 Woodbury Rd
Sajid Shah Woodbury
New York, NY 11797
Phone (516) 367-3534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
031983NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rehan & Amina Drug Corp Pharmacist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780795922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 WOODBURY RD",
            "address_2": "SAJID SHAH WOODBURY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11797",
            "telephone_number": "516-367-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 BROADWAY",
            "address_2": "SAMS DRUGS BROOKLYN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11797",
            "telephone_number": "718-453-6866",
            "fax_number": "718-452-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAJID",
        "middle_name": "IJAZ",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.