Organization Active NPI

Shizo Drug Corp

  • Community/Retail Pharmacy
  • Ridgewood, NY
National Provider Identifier
1932462009
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031335 Issued in NY
Legal business name
SHIZO DRUG CORP
Practice address
311 Saint Nicholas Ave
Ridgewood, NY 11385-2296
Phone
(718) 366-2268
Fax
(718) 366-2291
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Mohammed Ahmed
Title
Supervising Pharmacist
Phone
(516) 852-8451

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031335 NY Primary

Addresses

Primary practice location

311 Saint Nicholas Ave
Ridgewood, NY 11385-2296

Mailing address

311 Saint Nicholas Ave
Ridgewood, NY 11385-2296
Phone (718) 366-2268

Other identifiers 1

IdentifierTypeStateIssuer
5805520OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Rite Med Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1932462009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SAINT NICHOLAS AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852296",
            "telephone_number": "718-366-2268",
            "fax_number": "718-366-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SAINT NICHOLAS AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852296",
            "telephone_number": "718-366-2268",
            "fax_number": "718-366-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIZO DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "516-852-8451"
    },
    "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": "031335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5805520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rite Med Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 6, 2012; 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.