Individual provider Active NPI

Momin Hamid

  • Pharmacist
  • Matawan, NJ
National Provider Identifier
1164144796
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04072900 Issued in NJ
Practice address
27 Morristown Rd
Matawan, NJ 07747-3595
Phone
(732) 583-4347
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04072900 NJ Primary

Addresses

Primary practice location

27 Morristown Rd
Matawan, NJ 07747-3595

Mailing address

2 Vernon St
Parlin, NJ 08859-1136
Phone (516) 288-1691

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CVS.com New Jersey CVS Pharmacy LLC

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
28RI04072900NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1164144796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VERNON ST",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591136",
            "telephone_number": "516-288-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MORRISTOWN RD",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473595",
            "telephone_number": "732-583-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMID",
        "first_name": "MOMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04072900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CVS.com",
            "affiliation": "Y",
            "endpointDescription": "company website",
            "affiliationName": "New Jersey CVS Pharmacy LLC",
            "address_1": "27 Morristown Rd",
            "city": "Matawan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077473595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.