Shakespeare Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029403 Issued in NY

Legal business name

SHAKESPEARE PHARMACY LLC

Doing business as

Shakespeare Pharmacy LLC

Practice address

1252 Shakespeare Ave
Bronx, NY 10452-3012

Phone

(718) 588-4100

Fax

(718) 588-4200

NPI assigned

Jun 9, 2009

Last updated

Oct 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mushtaq Faisal

Title

President

Phone

(718) 588-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shakespeare Pharmacy LLC Doing business as

Locations

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1811123466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 SHAKESPEARE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523012",
            "telephone_number": "718-588-4100",
            "fax_number": "718-588-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 SHAKESPEARE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523012",
            "telephone_number": "718-588-4100",
            "fax_number": "718-588-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKESPEARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "FAISAL",
        "authorized_official_first_name": "MUSHTAQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-588-4100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3361211",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shakespeare Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Athar Shakeel
• Joy Marie Shakelton, WHNP-BC, CRNP
• Shakespeare Operating LLC
• Shakespeare Operating LLC
• Shakespeare Operating LLC (Bronx Treatment Center)
• Anna Shakhbazov, MS-CF-SLP
• Mariam Shakir, DO
• Muhammad Shakir
• Coleen Shakleford, LPN
• Rita Shaknovich, MD

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.