Individual provider Active NPI

Arshad Javaid

  • Pharmacist
  • Valley Stream, NY
National Provider Identifier
1134490956
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
056572 Issued in NY
Practice address
119 S Montague St
Valley Stream, NY 11580-5226
Phone
(347) 771-2075
Fax
(347) 328-5616
NPI assigned
Jan 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056572 NY Primary

Addresses

Primary practice location

119 S Montague St
Valley Stream, NY 11580-5226

Mailing address

119 S Montague St
Valley Stream, NY 11580-5226
Phone (347) 771-2075

Other practice location 1

733 Amherst St Lowr
Buffalo, NY 14216-3101
Phone (716) 876-4620

Other identifiers 1

IdentifierTypeStateIssuer
056572OtherNYLICENCE NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
056572NYMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vega Pharmacy Inc. CurrentSince Oct 6, 2022 Accepting new patients

Locations

1332 Commerce Ave
Frnt 3
Bronx, NY 10461
Phone (347) 293-4855

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.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1134490956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S MONTAGUE ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805226",
            "telephone_number": "347-771-2075",
            "fax_number": "347-328-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S MONTAGUE ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805226",
            "telephone_number": "347-771-2075",
            "fax_number": "347-328-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "733 Amherst St Lowr",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142163101",
            "country_code": "US",
            "telephone_number": "716-876-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAVAID",
        "first_name": "ARSHAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "056572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.