Individual provider Active NPI

Mahmud Ansari, PHARMACIST

  • Pharmacist
  • Upper Darby, PA
National Provider Identifier
1083360283
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP442261 Issued in PA
Practice address
800 Garrett Rd
Upper Darby, PA 19082-4706
Phone
(610) 352-7500
Fax
(610) 352-7501
NPI assigned
Feb 25, 2022
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP442261 PA Primary

Addresses

Primary practice location

800 Garrett Rd
Upper Darby, PA 19082-4706

Mailing address

800 Garrett Rd
Upper Darby, PA 19082-4706
Phone (267) 237-9988

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL upperdarby Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
RP442261PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ansari Family Inc CurrentSince Feb 27, 2022 Accepting new patients

Locations

800 Garrett Rd
Upper Darby, PA 19082
Phone (267) 237-9988

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1083360283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GARRETT RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824706",
            "telephone_number": "267-237-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GARRETT RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824706",
            "telephone_number": "610-352-7500",
            "fax_number": "610-352-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "MAHMUD",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP442261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "upperdarby",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "upperdarby",
            "address_1": "800 Garrett Rd",
            "city": "Upper Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190824706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.