Individual provider Active NPI

Peter Fayz Masoud, RPH

  • Pharmacist
  • Hempstead, NY
National Provider Identifier
1144777608
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20 062226 Issued in NY
Practice address
393 Front Street Walgreens Pharmacy
The Pharmacy
Hempstead, NY 11550-2041
Phone
(917) 815-3006
Fax
(718) 628-7099
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20 062226 NY Primary

Addresses

Primary practice location

393 Front Street Walgreens Pharmacy
The Pharmacy
Hempstead, NY 11550-2041

Mailing address

6336 60TH PL
Ridgewood, NY 11385-2041
Phone (917) 815-3006

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

LicenseStateTypeSpecialty
20 062226NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1144777608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 60TH PL",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852041",
            "telephone_number": "917-815-3006",
            "fax_number": "718-628-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 FRONT STREET WALGREENS PHARMACY",
            "address_2": "THE PHARMACY",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115502041",
            "telephone_number": "917-815-3006",
            "fax_number": "718-628-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOUD",
        "first_name": "PETER",
        "middle_name": "FAYZ",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "20 062226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.