Active NPI
Rizwan Atiq, RPH
- Pharmacist
- Bay Shore, NY
National Provider Identifier
1063050144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066135
- Practice address
- 301 E Main St
Bay Shore, NY 11706-8458 - Phone
- (917) 547-2916
- NPI assigned
- Dec 19, 2019
- Last updated
- Nov 27, 2023
- 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 | 066135 | NY | Primary |
Addresses
Primary practice location
301 E Main St
Bay Shore, NY 11706-8458
Mailing address
8521 168TH St FL 2
Jamaica, NY 11432-2623
Phone (917) 547-2916
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ratiq@northwell.edu | Northwell Health |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066135 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1063050144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8521 168TH ST FL 2",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322623",
"telephone_number": "917-547-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068458",
"telephone_number": "917-547-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATIQ",
"first_name": "RIZWAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-19",
"last_updated": "2023-11-27",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066135",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ratiq@northwell.edu",
"affiliation": "Y",
"affiliationName": "Northwell Health",
"address_1": "301 E Main St",
"city": "Bay Shore",
"state": "NY",
"country_code": "US",
"postal_code": "117068458",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.