Individual provider Active NPI

Anisul Quadir

  • Pharmacist
  • East Setauket, NY
National Provider Identifier
1255677472
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
043020 Issued in NY
Practice address
25 Schmeelk PL
East Setauket, NY 11733-1208
Phone
(631) 682-9750
NPI assigned
Dec 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 043020 NY Primary

Addresses

Primary practice location

25 Schmeelk PL
East Setauket, NY 11733-1208

Mailing address

25 Schmeelk PL
East Setauket, NY 11733-1208

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
043020NYMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1355529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1255677472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SCHMEELK PL",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SCHMEELK PL",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331208",
            "telephone_number": "631-682-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADIR",
        "first_name": "ANISUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-15",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "043020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.