Active NPI
Moiz Jaffarji
- Pharmacist
- Lawrence, NY
National Provider Identifier
1255740742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058838
- Practice address
- 605 Rockaway Tpke
Lawrence, NY 11559-1047 - Phone
- (516) 371-3102
- Fax
- (516) 371-2861
- NPI assigned
- Aug 8, 2014
- 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 | 058838 | NY | Primary |
Addresses
Primary practice location
605 Rockaway Tpke
Lawrence, NY 11559-1047
Mailing address
1140 Old Country Rd
Riverhead, NY 11901-2073
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 |
|---|---|---|---|
| 058838 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1255740742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 OLD COUNTRY RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 ROCKAWAY TPKE",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591047",
"telephone_number": "516-371-3102",
"fax_number": "516-371-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFARJI",
"first_name": "MOIZ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-08",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.