Santa Fe Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026153 Issued in NY

Legal business name

SANTA FE PHARMACY INC

Doing business as

santa fe pharmacy inc.

Practice address

8831 37TH Ave
Jackson Heights, NY 11372-7736

Phone

(718) 651-7400

Fax

(718) 651-1777

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nissren K Gadelrab, RPHNPI 1912155797

Title

Supervising Pharmacist

Phone

(718) 651-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• santa fe pharmacy inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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.

• Nissren Gadelrab, RPH

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1912155797
  NPD Authorized official
• Rane Jabonillo, PHARM.D.

  • Pharmacist
  • Flushing, NY
  • NPI 1245692995
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1982637666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727736",
            "telephone_number": "718-651-7400",
            "fax_number": "718-651-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727736",
            "telephone_number": "718-651-7400",
            "fax_number": "718-651-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "GADELRAB",
        "authorized_official_first_name": "NISSREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-651-7400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02461549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "santa fe pharmacy inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "santa fe pharmacy inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yanira Mercedes Sanchez, PHYSICIAN ASSISTANT
• Tuyche Sang, A.B.O.
• Dawa Sangmo, MD
• Sanitas Health
• Sanitas Health DME
• Arelys Santana, D.D.S
• Santo Domingo Pharmacy, Inc
• Luisa Alison Santos
• Zenaida Espino Santos, M.D.
• Maria E Sanz

• Community/Retail Pharmacy in Jackson Heights, NY
• Providers in Jackson Heights, 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 Nov 2, 2018; 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.