Individual provider Active NPI

Syed Farkruzzaman

  • Pharmacist
  • Jamaica, NY
National Provider Identifier
1003640574
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
070973 Issued in NY
Practice address
11105 Jamaica Ave
Jamaica, NY 11418-2323
Phone
(718) 441-3222
NPI assigned
Aug 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 070973 NY Primary

Addresses

Primary practice location

11105 Jamaica Ave
Jamaica, NY 11418-2323

Mailing address

11105 Jamaica Ave
Jamaica, NY 11418-2323
Phone (718) 441-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070973NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Caplet Store Inc CurrentSince Apr 6, 2025 Accepting new patients
Elahi LLC PastSince Sep 1, 2024 Accepting new patients

Locations

11105 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 441-3222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1003640574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182323",
            "telephone_number": "718-441-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11105 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182323",
            "telephone_number": "718-441-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARKRUZZAMAN",
        "first_name": "SYED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "070973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.