Individual provider Active NPI

Muhammad Atiqur Rahman, RPH

  • Pharmacist
  • Kerhonkson, NY
National Provider Identifier
1164746327
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
045158 Issued in NY
Practice address
6401 Route 209
Kerhonkson, NY 12446-3033
Phone
(845) 626-0900
Fax
(845) 626-5546
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 045158 NY Primary

Addresses

Primary practice location

6401 Route 209
Kerhonkson, NY 12446-3033

Mailing address

PO Box 626
Kerhonkson, NY 12446-0626
Phone (845) 626-0900

Other identifiers 1

IdentifierTypeStateIssuer
045158OtherNYTHE UNIVERSITY OF THE STATE OF NEW YORK/ EDUCATION DEPARTMENT

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
045158NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Catskill Pharmacy 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": "1164746327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "124460626",
            "telephone_number": "845-626-0900",
            "fax_number": "845-626-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 ROUTE 209",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "124463033",
            "telephone_number": "845-626-0900",
            "fax_number": "845-626-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MUHAMMAD",
        "middle_name": "ATIQUR",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "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": "045158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK/ EDUCATION DEPARTMENT",
            "identifier": "045158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerhonkson, 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.