Organization Active NPI

Sheepshead Bay Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1790074268
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030659 Issued in NY
Legal business name
SHEEPSHEAD BAY PHARMACY, INC.
Doing business as
Sheepshead Bay Pharmacy, Inc.
Practice address
3558 Nostrand Ave
Brooklyn, NY 11229-5203
Phone
(718) 676-4966
Fax
(718) 676-4967
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Zena AskerovaNPI 1174847453
Title
Supervising Pharmacist
Phone
(732) 259-3882

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
Community/Retail Pharmacy 3336C0003X 030659 NY Primary

Addresses

Primary practice location

3558 Nostrand Ave
Brooklyn, NY 11229-5203

Mailing address

3558 Nostrand Ave
Brooklyn, NY 11229-5203
Phone (718) 676-4966

Other identifiers 1

IdentifierTypeStateIssuer
2131118OtherPK

Other names 1

  • Sheepshead Bay Pharmacy, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

3558 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 676-4966

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1790074268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295203",
            "telephone_number": "718-676-4966",
            "fax_number": "718-676-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3558 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295203",
            "telephone_number": "718-676-4966",
            "fax_number": "718-676-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEPSHEAD BAY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "ASKEROVA",
        "authorized_official_first_name": "ZENA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "732-259-3882"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131118",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheepshead Bay Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.