Active NPI
Mariam Noor
- Pharmacist
- Long Island City, NY
National Provider Identifier
1013582006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056137
- Practice address
- 2510 30TH Ave
Long Island City, NY 11102-2448 - Phone
- (718) 932-1000
- NPI assigned
- May 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 056137 | NY | Primary |
Addresses
Primary practice location
2510 30TH Ave
Long Island City, NY 11102-2448
Mailing address
44 Chestnut St
Hicksville, NY 11801-3223
Phone (516) 238-9690
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 |
|---|---|---|---|
| 056137 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621728000000",
"number": "1013582006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CHESTNUT ST",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013223",
"telephone_number": "516-238-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 30TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111022448",
"telephone_number": "718-932-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOOR",
"first_name": "MARIAM",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-23",
"last_updated": "2021-05-23",
"certification_date": "2021-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.