Sanford Pharmacy, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

040935 Issued in NY

Legal business name

SANFORD PHARMACY, INC

Practice address

13347 Sanford Ave
Suite #C1D
Flushing, NY 11355-5800

Phone

(718) 460-8329

Fax

(718) 460-6279

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Warren Moy, RPH

Title

President/Owner

Phone

(718) 460-8329

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972511277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE",
            "address_2": "SUITE #C1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555800",
            "telephone_number": "718-460-8329",
            "fax_number": "718-460-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE",
            "address_2": "SUITE #C1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555800",
            "telephone_number": "718-460-8329",
            "fax_number": "718-460-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-460-8329",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02356238",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3329124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanford Family Medical Practice PC
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• Sanford Home for Adults LLC
• Sanford Medical Care, PLLC
• Sanford NP in Adult Health PC
• Sanford Physical Therapy and Acup PLLC
• Sang Kee Pahk MD PC
• Koky Sang, MD
• Sangwoo Mah, D.C., P.C.
• Sanjay Lodha Physician PC

• Pharmacist in Flushing, NY
• Providers in Flushing, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.