Active NPI
Syed Iqbal, PHARMD
- Pharmacist
- Brentwood, NY
National Provider Identifier
1104149806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053003
- Practice address
- 26 Wicks Rd
Walgreens
Brentwood, NY 11717-3509 - Phone
- (631) 637-3317
- NPI assigned
- Mar 9, 2010
- 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 | 053003 | NY | Primary |
Addresses
Primary practice location
26 Wicks Rd
Walgreens
Brentwood, NY 11717-3509
Mailing address
2130 48TH St
2ND FL
Astoria, NY 11105-1312
Phone (917) 754-4150
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 |
|---|---|---|---|
| 053003 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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
- Brentwood, NY
- NPI 1194273854
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1104149806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 48TH ST",
"address_2": "2ND FL",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111051312",
"telephone_number": "917-754-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 WICKS RD",
"address_2": "WALGREENS",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117173509",
"telephone_number": "631-637-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IQBAL",
"first_name": "SYED",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-09",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.