Active NPI
Aboubacar Sylla, PHARMD
- Pharmacist
- New York, NY
National Provider Identifier
1184948952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052386
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 052386 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ep 2020 Store No 1 LLC | Current | Accepting new patients | |
| Ecovert Pharma Inc. | Current | 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.
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1568896173
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1467114934
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1063521524
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1639288129
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.