Individual provider Active NPI

Jaklin Aiad Sorial, PHARM D

  • Pharmacist
  • New York, NY
National Provider Identifier
1104132430
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
055064 Issued in NY
Practice address
125 E 86TH St
New York, NY 10028-1008
Phone
(212) 996-5261
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 055064 NY Primary

Addresses

Primary practice location

125 E 86TH St
New York, NY 10028-1008

Mailing address

1517 Cortelyou Rd
Brooklyn, NY 11226-5607
Phone (718) 287-9078

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

LicenseStateTypeSpecialty
055064NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SLM Pharmacy Inc Current Accepting new patients
Duane Reade Past Accepting new patients
Duane Reade PastSince Apr 24, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1104132430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265607",
            "telephone_number": "718-287-9078",
            "fax_number": "718-287-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281008",
            "telephone_number": "212-996-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIAL",
        "first_name": "JAKLIN",
        "middle_name": "AIAD",
        "name_prefix": "Mrs.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.