Active NPI
Shujaat Abbas Mir, BPHARM
- Pharmacist
- New Rochelle, NY
National Provider Identifier
1255624870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024648
- Practice address
- 550 North Ave
New Rochelle, NY 10801-2612 - Phone
- (914) 235-4422
- Fax
- (914) 235-3489
- NPI assigned
- May 17, 2011
- Last updated
- May 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 024648 | NY | Primary |
Addresses
Primary practice location
550 North Ave
New Rochelle, NY 10801-2612
Mailing address
550 North Ave
New Rochelle, NY 10801-2612
Phone (914) 235-4422
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
| License | State | Type | Specialty |
|---|---|---|---|
| 024648 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avel Pharmacy 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": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1255624870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 NORTH AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108012612",
"telephone_number": "914-235-4422",
"fax_number": "914-235-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 NORTH AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108012612",
"telephone_number": "914-235-4422",
"fax_number": "914-235-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIR",
"first_name": "SHUJAAT",
"middle_name": "ABBAS",
"name_prefix": "Mr.",
"credential": "BPHARM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "024648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.