Samira Ali, PHARM. D

Individual provider Active NPI Pharmacist · Oakland Gardens, NY

NPI 1033465604 · NPPES record last updated Jul 31, 2012

Key facts

NPI
1033465604
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
056963 (NY)
Practice address
21508 73Rd Ave
Oakland Gardens, NY 11364-2949
Phone
(718) 479-2782
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
056963NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056963 NY Yes

Addresses

Primary practice location

21508 73Rd Ave
Oakland Gardens, NY 11364-2949

Mailing address

8616 60TH Ave Apt 3E
Elmhurst, NY 11373-5510
Phone (469) 767-1414

Other providers in Oakland Gardens, NY

All providers in Oakland Gardens, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.