Mohammad Umar Amtiaz, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

063190 Issued in NY

Practice address

300 W 135TH St
New York, NY 10030-2731

Phone

(212) 491-6015

NPI assigned

Aug 21, 2017

Last updated

Jun 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Duane Reade

  dba Duane Reade #14398

  • Pharmacy
  • New York, NY
  • NPI 1194740662
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1265958300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 3RD AVE APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092132",
            "telephone_number": "347-909-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 135TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302731",
            "telephone_number": "212-491-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMTIAZ",
        "first_name": "MOHAMMAD",
        "middle_name": "UMAR",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amsterdam Pediatrics PLLC
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• Alison Debora Amsterdam, M.D.
• Monsurat Amunikoro
• Amy B Lewis & Associates LLC (Lewis dermatology & Associates)
• Amy B Lewis MD PC (Lewis Dermatology & Associates)
• Amy Backes, Licensed Behavior Analyst, PLLC
• Amy Bleyer MD PLLC

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.