Active NPI
Ali Hassan Jaffery, PHARM.D.
- Pharmacist
- Yonkers, NY
National Provider Identifier
1093062812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057069
- Practice address
- 967 N Broadway
Yonkers, NY 10701-1301 - Phone
- (914) 964-4317
- NPI assigned
- Aug 10, 2012
- 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 | 057069 | NY | Primary |
Addresses
Primary practice location
967 N Broadway
Yonkers, NY 10701-1301
Mailing address
23 Bamboo LN
Hicksville, NY 11801-4514
Phone (516) 232-4396
Other practice location 1
48 Central Ct
Valley Stream, NY 11580-1143
Phone (516) 593-7747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057069 | Other | NY | NYS BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 057069 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Specialty Pharmacy Inc. | Current | Accepting new patients | |
| Rex Specialty Pharmacy Corp | Current | Accepting new patients | |
| Steinway Pharmacy | Past | Accepting new patients |
Locations
48 Central Ct
Valley Stream, NY 11580
Phone (516) 593-7747
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Valley Stream, NY
- NPI 1649415704
-
- Community/Retail Pharmacy
- Valley Stream, NY
- NPI 1427639764
-
- Community/Retail Pharmacy
- Astoria, NY
- NPI 1841335494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1093062812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 BAMBOO LN",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014514",
"telephone_number": "516-232-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 N BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011301",
"telephone_number": "914-964-4317"
}
],
"practiceLocations": [
{
"address_1": "48 Central Ct",
"address_purpose": "LOCATION",
"city": "Valley Stream",
"state": "NY",
"postal_code": "115801143",
"country_code": "US",
"telephone_number": "516-593-7747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAFFERY",
"first_name": "ALI",
"middle_name": "HASSAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-10",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS BOARD OF PHARMACY",
"identifier": "057069",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.