Asifa Akhtar – Pharmacist in Bear, DE

Key facts

NPI: 1104522085
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: A1-0015883 (DE)
Practice address: 14 Gallant Fox CT
Bear, DE 19701-3381
Phone: (610) 551-2088
NPI assigned: Feb 2, 2023
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
A1-0015883	DE	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	A1-0015883	DE	Yes

Addresses

Primary practice location

14 Gallant Fox CT
Bear, DE 19701-3381

Mailing address

14 Gallant Fox CT
Bear, DE 19701-3381
Phone (610) 551-2088

Other identifiers

Identifier	Type	State	Issuer
A1-0015883	Other	DE	BOARD OF PHARMACY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2023.

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1104522085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GALLANT FOX CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013381",
            "telephone_number": "610-551-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GALLANT FOX CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013381",
            "telephone_number": "610-551-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHTAR",
        "first_name": "ASIFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0015883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "A1-0015883",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

All providers in Bear, DE · Pharmacist in Delaware

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.