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SUMNER AVE PHARMACY
NPI 1003964578
Pharmacy - Community/Retail Pharmacy in Brooklyn, NY

Active since January 08, 2007
103 SUMNER AVE, BROOKLYN, NY 11206(718) 455-7100(718) 789-8581 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sumner Ave Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMNER AVE PHARMACY (NPI 1003964578) is a healthcare organization registered as a community/retail pharmacy in Brooklyn, New York and active in the NPI registry since January 2007. The organization lists Rukmin Persand, Manager And Owner, as its authorized official.

NPPES Registry Identity

NPI1003964578
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHAN PHARMACY INC
Location Address103 SUMNER AVEBrooklyn, NY 11206-6940
Mailing Address103 Sumner AveBrooklyn, NY 11206-6940 · (718) 455-7100 · Fax (718) 789-8581
Phone(718) 455-7100
Fax(718) 789-8581
Organization SubpartNo
Authorized OfficialRukmin PersandManager And Owner · (718) 455-7100
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMay 20, 2010
✔ NPI 1003964578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 023189
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
103 SUMNER AVE, Brooklyn, NY 11206
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Other Names 1

Doing Business AsSumner Ave Pharmacy

Other Identifiers 2

Medicaid01706216NY
Other3397797Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHABIR UDDIN AHAMED
Pharmacist
103 SUMNER AVE
BROOKLYN, NY 11206
Kings County (718) 455-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shan Pharmacy Inc's NPI number?

The NPI number for Shan Pharmacy Inc is 1003964578. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Sumner Ave Pharmacy.

Where is Shan Pharmacy Inc located?

Shan Pharmacy Inc is located at 103 Sumner Ave, Brooklyn, NY 11206. The listed phone number is (718) 455-7100.

What is Shan Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Shan Pharmacy Inc was last updated on May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.