Individual provider Active NPI

Yusuf Elminshawy

  • Pharmacist
  • Newburgh, NY
National Provider Identifier
1124683784
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
061385 Issued in NY
Practice address
194 Broadway
Newburgh, NY 12550-5415
Phone
(845) 561-5253
Fax
(845) 561-7978
NPI assigned
May 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 061385 NY Primary

Addresses

Primary practice location

194 Broadway
Newburgh, NY 12550-5415

Mailing address

194 Broadway
Newburgh, NY 12550-5415
Phone (845) 561-5253

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

LicenseStateTypeSpecialty
061385NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Chemists Inc. Past Accepting new patients
Broadway Chemists Inc. PastSince Jan 21, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1124683784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505415",
            "telephone_number": "845-561-5253",
            "fax_number": "845-561-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505415",
            "telephone_number": "845-561-5253",
            "fax_number": "845-561-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMINSHAWY",
        "first_name": "YUSUF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "061385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.