Active NPI
Amal Yahya
- Pharmacist
- Paterson, NJ
National Provider Identifier
1053804179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03935800
- Practice address
- 900 Main St
Paterson, NJ 07503-2619 - Phone
- (862) 257-9990
- Fax
- (862) 257-9991
- NPI assigned
- Jun 13, 2018
- Last updated
- Jun 13, 2018
- 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 | 28RI03935800 | NJ | Primary |
Addresses
Primary practice location
900 Main St
Paterson, NJ 07503-2619
Mailing address
44 Oak St
Lincoln Park, NJ 07035-2434
Phone (862) 247-2475
Other practice location 1
236 Harrison Ave
Harrison, NJ 07029-1347
Phone (973) 900-9275
Other practice location 2
625 Main Ave
Passaic, NJ 07055-4952
Phone (973) 471-9100
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 |
|---|---|---|---|
| 28RI03935800 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Plus & Surgical Supplies LLC | Past | Accepting new patients | |
| Pharmacy Plus & Surgical Supplies LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Harrison, NJ
- NPI 1689986424
-
- Long Term Care Pharmacy
- Harrison, NJ
- NPI 1972297844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1053804179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 OAK ST",
"city": "LINCOLN PARK",
"state": "NJ",
"postal_code": "070352434",
"telephone_number": "862-247-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032619",
"telephone_number": "862-257-9990",
"fax_number": "862-257-9991"
}
],
"practiceLocations": [
{
"address_1": "236 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Harrison",
"state": "NJ",
"postal_code": "070291347",
"country_code": "US",
"telephone_number": "973-900-9275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "625 Main Ave",
"address_purpose": "LOCATION",
"city": "Passaic",
"state": "NJ",
"postal_code": "070554952",
"country_code": "US",
"telephone_number": "973-471-9100",
"fax_number": "973-471-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAHYA",
"first_name": "AMAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03935800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.