Individual provider Active NPI

Munir Islam, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1205168002
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042556 Issued in NY
Practice address
364 Junius St
Brooklyn, NY 11212-7306
Phone
(718) 485-4012
Fax
(718) 485-5012
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042556 NY Primary

Addresses

Primary practice location

364 Junius St
Brooklyn, NY 11212-7306

Mailing address

364 Junius St
Brooklyn, NY 11212-7306
Phone (718) 485-4012

Other identifiers 1

IdentifierTypeStateIssuer
042556OtherNYSUPERVISING PHARMACIST

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
042556NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Luck Pharmacy, Inc. Current Accepting new patients
Swadeshbd RX Inc Current Accepting new patients

Locations

364 Junius St
Brooklyn, NY 11212
Phone (718) 385-1230

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1205168002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 JUNIUS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127306",
            "telephone_number": "718-485-4012",
            "fax_number": "718-485-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 JUNIUS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127306",
            "telephone_number": "718-485-4012",
            "fax_number": "718-485-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MUNIR",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERVISING PHARMACIST",
            "identifier": "042556",
            "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 Feb 3, 2010; 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.