Individual provider Active NPI

Syeda Humaira Ali

  • Pharmacist
  • Gastonia, NC
National Provider Identifier
1215466362
Registry record updated Jun 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26478 Issued in NC
Practice address
3000 E Franklin Blvd
Gastonia, NC 28056-9451
Phone
(630) 898-2095
NPI assigned
Jun 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26478 NC Primary

Addresses

Primary practice location

3000 E Franklin Blvd
Gastonia, NC 28056-9451

Mailing address

3427 Donnington Way
Gastonia, NC 28056-7872
Phone (630) 615-8002

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
26478NCMDDevelopmental - Behavioral Pediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497139200000",
    "number": "1215466362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 DONNINGTON WAY",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567872",
            "telephone_number": "630-615-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280569451",
            "telephone_number": "630-898-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SYEDA",
        "middle_name": "HUMAIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-11",
        "last_updated": "2017-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2017; 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.