Active NPI
Khaled Ali
- Pharmacist
- Saint Albans, NY
National Provider Identifier
1104178060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057464
- Practice address
- 20543 Linden Blvd
Saint Albans, NY 11412-2925 - Phone
- (718) 749-5988
- NPI assigned
- Oct 2, 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 | 057464 | NY | Primary |
Addresses
Primary practice location
20543 Linden Blvd
Saint Albans, NY 11412-2925
Mailing address
20543 Linden Blvd
Saint Albans, NY 11412-2925
Phone (718) 749-5988
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
| License | State | Type | Specialty |
|---|---|---|---|
| 057464 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakers Drugs LLC. | Current | Accepting new patients |
Locations
20543 Linden Blvd
Saint Albans, NY 11412
Phone (718) 749-5988
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Saint Albans, NY
- NPI 1033516653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1104178060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20543 LINDEN BLVD",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122925",
"telephone_number": "718-749-5988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20543 LINDEN BLVD",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122925",
"telephone_number": "718-749-5988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "KHALED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-02",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.