Active NPI
Mohammed Sanaul Hoque Bhuiyan, R.PH
- Pharmacist
- Bronx, NY
National Provider Identifier
1225350093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30089
- Practice address
- 57 E Kingsbridge Rd
Bronx, NY 10468-7503 - Phone
- (718) 295-4444
- Fax
- (718) 367-9797
- NPI assigned
- Feb 22, 2010
- Last updated
- Feb 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30089 | NY | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 30089 | NY |
Addresses
Primary practice location
57 E Kingsbridge Rd
Bronx, NY 10468-7503
Mailing address
57 East Kingsbridge Rd
Star Drug
Bronx, NY 10468
Phone (718) 295-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02834637 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30089 | NY | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Trek Phcy 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, 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": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1225350093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 EAST KINGSBRIDGE RD",
"address_2": "STAR DRUG",
"city": "BRONX",
"state": "NY",
"postal_code": "10468",
"telephone_number": "718-295-4444",
"fax_number": "718-367-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 E KINGSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104687503",
"telephone_number": "718-295-4444",
"fax_number": "718-367-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHUIYAN",
"first_name": "MOHAMMED",
"middle_name": "SANAUL HOQUE",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "30089",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NY",
"license": "30089",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02834637",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.