Individual provider Active NPI

William Haddad

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1215565338
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066623 Issued in NY
Practice address
8510 3Rd Ave
Brooklyn, NY 11209-4610
Phone
(718) 680-9855
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066623 NY Primary

Addresses

Primary practice location

8510 3Rd Ave
Brooklyn, NY 11209-4610

Mailing address

8520 3Rd Ave
Brooklyn, NY 11209-4675
Phone (347) 926-6217

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
066623NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ymga Pharmacy Services, Corp CurrentSince Nov 24, 2024 Accepting new patients
Ymga Pharmacy Services, Corp PastSince Apr 5, 2020 Accepting new patients

Locations

8510 3rd Ave
Brooklyn, NY 11209
Phone (718) 680-9855

Organizations & group practices 2

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1215565338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094675",
            "telephone_number": "347-926-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094610",
            "telephone_number": "718-680-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066623",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 1, 2020; 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.