Active NPI
Usman Khan, PHARM.D.
- Pharmacist
- Corona, NY
National Provider Identifier
1104054568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029898
- Practice address
- 9721 57TH Ave
Corona, NY 11368-3540 - Phone
- (718) 699-7700
- NPI assigned
- Jun 24, 2009
- 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 | 029898 | NY | Primary |
Addresses
Primary practice location
9721 57TH Ave
Corona, NY 11368-3540
Mailing address
1077 Wolver Hollow Rd
Oyster Bay, NY 11771-4302
Phone (516) 621-3621
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 |
|---|---|---|---|
| 029898 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1104054568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 WOLVER HOLLOW RD",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117714302",
"telephone_number": "516-621-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9721 57TH AVE",
"city": "CORONA",
"state": "NY",
"postal_code": "113683540",
"telephone_number": "718-699-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "USMAN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "029898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.