Active NPI
Sardar Rafiq Ahmad, R PH
- Durable Medical Equipment & Medical Supplies
- Waterloo, NY
National Provider Identifier
1124196472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 020371
- Practice address
- 12 W Main St
Waterloo, NY 13165-1329 - Phone
- (315) 539-9323
- Fax
- (315) 539-4146
- NPI assigned
- Dec 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020371 | NY | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 020371 | NY | Primary |
Addresses
Primary practice location
12 W Main St
Waterloo, NY 13165-1329
Mailing address
12 W Main St
Waterloo, NY 13165-1329
Phone (315) 539-9323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01153626 | Medicaid | NY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020371 | NY | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S R Ahmad, Inc. | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
Locations
12 W Main St
Waterloo, NY 13165
Phone (315) 539-9323
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.
-
- Durable Medical Equipment & Medical Supplies
- Waterloo, NY
- NPI 1730297458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124196472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 W MAIN ST",
"city": "WATERLOO",
"state": "NY",
"postal_code": "131651329",
"telephone_number": "315-539-9323",
"fax_number": "315-539-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 W MAIN ST",
"city": "WATERLOO",
"state": "NY",
"postal_code": "131651329",
"telephone_number": "315-539-9323",
"fax_number": "315-539-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "SARDAR",
"middle_name": "RAFIQ",
"name_prefix": "Miss",
"credential": "R PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "020371",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "020371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01153626",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.