Active NPI
Mazharul Ahmed
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1255654836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052800
- Practice address
- 379 Myrtle Ave
Brooklyn, NY 11205-2407 - Phone
- (718) 403-9112
- NPI assigned
- Mar 10, 2010
- Last updated
- Sep 15, 2015
- 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 | 052800 | NY | Primary |
Addresses
Primary practice location
379 Myrtle Ave
Brooklyn, NY 11205-2407
Mailing address
472 72ND St
Brooklyn, NY 11209-1605
Phone (718) 909-2709
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 |
|---|---|---|---|
| 052800 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, 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": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1255654836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472 72ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091605",
"telephone_number": "718-909-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 MYRTLE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052407",
"telephone_number": "718-403-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "MAZHARUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-10",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052800",
"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 Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.