Active NPI
Khamattie Uzagir, PHARMACIST
- Pharmacist
- Rockaway Park, NY
National Provider Identifier
1184392144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068126
- Practice address
- 194 Beach 116TH St
Rockaway Park, NY 11694-2417 - Phone
- (718) 318-0300
- NPI assigned
- Sep 2, 2021
- 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 | 068126 | NY | Primary |
Addresses
Primary practice location
194 Beach 116TH St
Rockaway Park, NY 11694-2417
Mailing address
8710 149TH Ave Apt 5F
Howard Beach, NY 11414-1432
Phone (347) 698-7743
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
| License | State | Type | Specialty |
|---|---|---|---|
| 068126 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1184392144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8710 149TH AVE APT 5F",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114141432",
"telephone_number": "347-698-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 BEACH 116TH ST",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942417",
"telephone_number": "718-318-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UZAGIR",
"first_name": "KHAMATTIE",
"name_prefix": "Dr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.