Individual provider Active NPI

Aboubacar Sylla, PHARMD

  • Pharmacist
  • New York, NY
National Provider Identifier
1184948952
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
052386 Issued in NY
Practice address
1600 Madison Ave
New York, NY 10029-3994
Phone
(212) 369-3084
Fax
(212) 423-3037
NPI assigned
Mar 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 052386 NY Primary

Addresses

Primary practice location

1600 Madison Ave
New York, NY 10029-3994

Mailing address

101 W End Ave
Apt# 9F
New York, NY 10023-6349
Phone (917) 331-5912

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

LicenseStateTypeSpecialty
052386NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ep 2020 Store No 1 LLC Current Accepting new patients
Ecovert Pharma Inc. CurrentSince Nov 28, 2021 Accepting new patients
Rite Aid of New York Inc Past Accepting new patients
Rite Aid of New York Inc Past Accepting new patients

Locations

1600 Madison Ave
New York, NY 10029
Phone (212) 369-3084

Organizations & group practices 4

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1184948952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W END AVE",
            "address_2": "APT# 9F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236349",
            "telephone_number": "917-331-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293994",
            "telephone_number": "212-369-3084",
            "fax_number": "212-423-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLLA",
        "first_name": "ABOUBACAR",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.