Provider Demographics
NPI:1730907122
Name:5IVE STARS ENTERPRISES INC
Entity type:Organization
Organization Name:5IVE STARS ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:USMAN
Authorized Official - Middle Name:SHEIKH
Authorized Official - Last Name:WAQAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-280-1554
Mailing Address - Street 1:1471 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-2913
Mailing Address - Country:US
Mailing Address - Phone:518-280-1554
Mailing Address - Fax:518-280-2144
Practice Address - Street 1:1471 STATE ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-2913
Practice Address - Country:US
Practice Address - Phone:518-280-1554
Practice Address - Fax:518-280-2144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy