Individual provider Active NPI

Syed Hasan Momin, PHARMACIST

  • Pharmacist
  • Bronx New York, NY
National Provider Identifier
1154645315
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
029942 Issued in NY
Practice address
553 Southern Blvd
Tu Farmacia Inc
Bronx New York, NY 10455-3762
Phone
(718) 292-8513
Fax
(718) 292-5246
NPI assigned
Mar 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 029942 NY Primary

Addresses

Primary practice location

553 Southern Blvd
Tu Farmacia Inc
Bronx New York, NY 10455-3762

Mailing address

553 Southern Blvd
Tu Farmacia Inc
Bronx, NY 10455-3762
Phone (718) 292-8513

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
029942NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tu Farmacia Inc Past Accepting new patients

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1154645315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 SOUTHERN BLVD",
            "address_2": "TU FARMACIA INC",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553762",
            "telephone_number": "718-292-8513",
            "fax_number": "718-292-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 SOUTHERN BLVD",
            "address_2": "TU FARMACIA INC",
            "city": "BRONX NEW YORK",
            "state": "NY",
            "postal_code": "104553762",
            "telephone_number": "718-292-8513",
            "fax_number": "718-292-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "SYED",
        "middle_name": "HASAN",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "029942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.