Al-Shifa Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030263 Issued in NY

Legal business name

AL-SHIFA PHARMACY INC

Doing business as

Vista Pharmacy

Practice address

236 Bushwick Ave
Brooklyn, NY 11206-2711

Phone

(718) 417-9031

Fax

(718) 417-5416

NPI assigned

Jun 29, 2010

Last updated

Feb 20, 2017By 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

Abdul Awan

Title

President

Phone

(718) 417-9031

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• VISTA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ejaz Ahmad, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1417272998
  NPD (past)
• Enuma Edwin Ezeude, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1699825026
  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1811208465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112062711",
            "telephone_number": "718-417-9031",
            "fax_number": "718-417-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112062711",
            "telephone_number": "718-417-9031",
            "fax_number": "718-417-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL-SHIFA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "AWAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-417-9031"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03247023",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haider Mahmood Shaker Al-Sahlawi
• Hanadi Al-Sawah, PT, DPT
• Nadia M Al-Shafei, R.D., C.D.N.
• Al-Shifa Dental Associates PC
• Al-Shifa Dental Associates, P.C.
• Ban Al-Sunboli
• Srivarsha Ala
• Mohamad Yousef Mohammad Alabdallat, MD
• Yusuff Alabi-Ajidagba
• Khaerat Alabi

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.