Provider Demographics
NPI:1467518522
Name:SIMS PHARMACY INC
Entity Type:Organization
Organization Name:SIMS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMIULLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIEF
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-346-7200
Mailing Address - Street 1:1711 PITKIN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-6601
Mailing Address - Country:US
Mailing Address - Phone:718-346-7200
Mailing Address - Fax:718-495-1321
Practice Address - Street 1:1711 PITKIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-6601
Practice Address - Country:US
Practice Address - Phone:718-346-7200
Practice Address - Fax:718-495-1321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018312333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00854980Medicaid
NYAS2863050OtherDEA NUMBER
NY00854980Medicaid