Active NPI
Abdullah Riyadh, PHARMD
- Pharmacist
- Bronx, NY
National Provider Identifier
1174911374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59366
- Practice address
- 3125 Bainbridge Ave
Bronx, NY 10467-3955 - Phone
- (718) 696-1958
- NPI assigned
- Dec 23, 2014
- Last updated
- Mar 25, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 59366 | NY | Primary |
Addresses
Primary practice location
3125 Bainbridge Ave
Bronx, NY 10467-3955
Mailing address
1039 Olmstead Ave
Bronx, NY 10472-6142
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 |
|---|---|---|---|
| 59366 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zinc Pharmacy Inc. | Current | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Astoria, NY
- NPI 1699586925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679702400000",
"number": "1174911374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 OLMSTEAD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104726142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104673955",
"telephone_number": "718-696-1958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIYADH",
"first_name": "ABDULLAH",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-23",
"last_updated": "2023-03-25",
"certification_date": "2023-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "59366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Riverspring Licensed Home Care Services Agency Inc
- Riverview Chemists Inc (Riverdale Pharmacy LTC)
- Riverview Chemists Inc (Riverdale Pharmacy)
- Boris N Rivkin
- Kir Rivkin, PHARM.D
- Rize-Up Bronx LLC (Rize-Up Together)
- Andreea Rizea, DMD
- Christine Rizkalla, MD
- Nadia Rizkallah, DMD
- Hasan Fakhrul Rizvi, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.