Organization Active NPI

Shri Drug Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1881687069
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
016289 Issued in NY
Legal business name
SHRI DRUG INC
Practice address
312 Ralph Ave
Brooklyn, NY 11233-3022
Phone
(718) 774-6800
Fax
(718) 774-1776
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Mr. Suresh Wattamwar I, R.PH.NPI 1518024066
Title
President
Phone
(718) 774-6800

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
Pharmacy 333600000X 016289 NY Primary

Addresses

Primary practice location

312 Ralph Ave
Brooklyn, NY 11233-3022

Mailing address

26 Irving Dr
Woodbury, NY 11797-1333
Phone (718) 774-6800

Other identifiers 2

IdentifierTypeStateIssuer
3366449OtherNCPDP
00316927MedicaidNY

Other names 1

  • Sure Drugs Former legal business name

National Provider Directory

National Provider Directory

Locations

312 Ralph Ave
Brooklyn, NY 11233
Phone (718) 774-6800

Practitioners & affiliated clinicians

Practitioners 4

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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1881687069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 IRVING DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971333",
            "telephone_number": "718-774-6800",
            "fax_number": "718-774-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333022",
            "telephone_number": "718-774-6800",
            "fax_number": "718-774-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "WATTAMWAR",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-774-6800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "016289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3366449",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00316927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sure Drugs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 17, 2008; 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.