Nicholas Bhasin, PHARMD
Individual provider Active NPI Pharmacist · Glen Head, NY
NPI 1063174274 · NPPES record last updated Oct 6, 2021
Key facts
- NPI
- 1063174274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 068201 (NY)
- Practice address
- 711 Glen Cove Rd
Glen Head, NY 11545-1944 - Phone
- (516) 676-1005
- NPI assigned
- Oct 6, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 068201 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past |
Accepting new patients | |
| CVS Albany LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 068201 | NY | Yes |
Addresses
Primary practice location
711 Glen Cove Rd
Glen Head, NY 11545-1944
Mailing address
9 Robin LN
Farmingdale, NY 11735-5913
Phone (516) 262-8765
Other providers in Glen Head, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.