Active NPI
Shafiq Abdallah
- Pharmacist
- Cliffside Park, NJ
National Provider Identifier
1003748575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04171800
- Practice address
- 644 Anderson Ave
Cliffside Park, NJ 07010-1835 - Phone
- (347) 988-7243
- NPI assigned
- Jun 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04171800 | NJ | Primary |
Addresses
Primary practice location
644 Anderson Ave
Cliffside Park, NJ 07010-1835
Mailing address
8616 Little Neck Pkwy
Floral Park, NY 11001-1429
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04171800 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1003748575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 LITTLE NECK PKWY",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110011429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 ANDERSON AVE",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070101835",
"telephone_number": "347-988-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDALLAH",
"first_name": "SHAFIQ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04171800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.