Active NPI
Sadath Ulla Shareef, B.PHARM; M.TECH
- Pharmacist
- Ridgewood, NY
National Provider Identifier
1861716383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03135200
- Practice address
- 389 Onderdonk Ave
Ridgewood, NY 11385-1336 - Phone
- (718) 381-3622
- Fax
- (718) 381-7992
- NPI assigned
- Mar 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053290 | NY | |
| Pharmacist | 183500000X | 28RI03135200 | NJ | Primary |
Addresses
Primary practice location
389 Onderdonk Ave
Ridgewood, NY 11385-1336
Mailing address
1470 Kew Ave
Hewlett, NY 11557-1415
Phone (718) 381-3622
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053290 | NY | MD | Dentist |
| 28RI03135200 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staywell Pharmacy Corp | Current | Accepting new patients |
Organizations & group practices 2
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": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322265600000",
"number": "1861716383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 KEW AVE",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571415",
"telephone_number": "718-381-3622",
"fax_number": "718-381-7992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 ONDERDONK AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113851336",
"telephone_number": "718-381-3622",
"fax_number": "718-381-7992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAREEF",
"first_name": "SADATH",
"middle_name": "ULLA",
"name_prefix": "Mr.",
"credential": "B.PHARM; M.TECH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-26",
"last_updated": "2011-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053290",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03135200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.