Active NPI
Maryam Ismail, PHARMD
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1154825008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063489
- Practice address
- 1070 Flatbush Ave
Brooklyn, NY 11226-5421 - Phone
- (813) 841-5464
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 063489 | NY | Primary |
Addresses
Primary practice location
1070 Flatbush Ave
Brooklyn, NY 11226-5421
Mailing address
832 Avenue Z FL 1
Brooklyn, NY 11235-6213
Phone (813) 841-5464
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063489 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1154825008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 AVENUE Z FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356213",
"telephone_number": "813-841-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112265421",
"telephone_number": "813-841-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAIL",
"first_name": "MARYAM",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.