Individual provider Active NPI

Azar Kamkhehji

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1194752428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
043194 Issued in NY
Practice address
510 Ocean Ave
Brooklyn, NY 11226-2886
Phone
(718) 282-3600
Fax
(718) 282-7066
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 043194 NY Primary

Addresses

Primary practice location

510 Ocean Ave
Brooklyn, NY 11226-2886

Mailing address

2205 Avenue S
Brooklyn, NY 11229-3621
Phone (718) 332-8428

Other identifiers 1

IdentifierTypeStateIssuer
02581771MedicaidNY

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

LicenseStateTypeSpecialty
043194NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmore Drugs 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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194752428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293621",
            "telephone_number": "718-332-8428",
            "fax_number": "718-332-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262886",
            "telephone_number": "718-282-3600",
            "fax_number": "718-282-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMKHEHJI",
        "first_name": "AZAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "043194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.