Active NPI
Syed Khan, PHARM D
- Pharmacist
- Deer Park, NY
National Provider Identifier
1063269116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068574
- Practice address
- 1944 Deer Park Ave
Deer Park, NY 11729-3323 - Phone
- (631) 667-6557
- NPI assigned
- May 6, 2024
- Sex
- Male
- 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 | 068574 | NY | Primary |
Addresses
Primary practice location
1944 Deer Park Ave
Deer Park, NY 11729-3323
Mailing address
113 Stewart St
Elmont, NY 11003-2340
Phone (516) 941-7026
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068574 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1063269116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 STEWART ST",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032340",
"telephone_number": "516-941-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1944 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293323",
"telephone_number": "631-667-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SYED",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
- Gerard Kennedy
- Kenneth a. Paticoff, DDS, PC
- Kevin a Henner,DMD,PC (Henner Dental Associates)
- Cyril Khan Jr., COTA
- Kiran Khan, RD
- Monica Kharat, MD
- Kids First Evaluation and Advocacy Center
- Kids World Developmental and Family Services, LLC.
- Shelly Kim
- Kindness Unlimited Physical Occupational &Speech Therapy Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.