MEDICARE: SANTA FE PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	026153	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982637666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA FE PHARMACY INC

Provider Business Mailing Address
First Line	:	8831 37TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7736
Country	:	US
Telephone Number	:	718-651-7400
Fax Number	:	718-651-1777

Provider Business Practice Location Address
First Line	:	8831 37TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7736
Country	:	US
Telephone Number	:	718-651-7400
Fax Number	:	718-651-1777

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	MRS. NISSREN K GADELRAB
Credential	:	RPH
Telephone Number	:	718-651-7400

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	11/02/2018

Similar Medicare Providers

1912155797 — NISSREN GADELRAB RPH
Practice Location Address:

8831 37TH AVE
JACKSON HEIGHTS, NY
11372-7736

Practice Phone: 718-561-7400
Practice Fax: 718-651-1777

1659631737 — MR. JAIME ALEMAN OT
Practice Location Address:

8823 37TH AVE # 147
JACKSON HEIGHTS, NY
11372-7736

Practice Phone: 347-256-8459
Practice Fax:

1245692995 — RANE JABONILLO PHARM.D.
Practice Location Address:

8831 37TH AVE
FLUSHING, NY
11372-7736

Practice Phone: 718-651-7400
Practice Fax:

1871424382 — VOLHA TRATSEUSKAYA
Practice Location Address:

9114 37TH AVE
JACKSON HEIGHTS, NY
11372-7920

Practice Phone: 718-722-6192
Practice Fax:

1477733137 — WINNIE HANG DIEP PHARMD
Practice Location Address:

9015 ROOSEVELT AVE
JACKSON HEIGHTS, NY
11372-7938

Practice Phone: 718-429-7666
Practice Fax:

1427987395 — MICHELLE ARIANA RENDON
Practice Location Address:

9114 37TH AVE
JACKSON HEIGHTS, NY
11372-7920

Practice Phone: 718-779-1600
Practice Fax:

Directions to “SANTA FE PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.