Provider Demographics
NPI:1366906406
Name:SHEEZAN DRUGS, INC.
Entity type:Organization
Organization Name:SHEEZAN DRUGS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEEZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-325-5441
Mailing Address - Street 1:7432 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5609
Mailing Address - Country:US
Mailing Address - Phone:718-426-4080
Mailing Address - Fax:718-426-1213
Practice Address - Street 1:7432 BROADWAY
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5609
Practice Address - Country:US
Practice Address - Phone:718-426-4080
Practice Address - Fax:718-426-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7731560001OtherMEDICARE
NY037104OtherNEW YORK STATE S BOARD OF PHARMACY
NY05572490Medicaid