Individual provider Active NPI

Waqar Ahmed

  • Pharmacy
  • Fort Lee, NJ
National Provider Identifier
1316742828
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00748100 Issued in NJ
Practice address
1622 Parker Ave Ste 1a
Fort Lee, NJ 07024-6927
Phone
(201) 461-4646
Fax
(201) 461-4655
NPI assigned
Feb 18, 2025
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Pharmacy 333600000X 28RS00748100 NJ Primary

Addresses

Primary practice location

1622 Parker Ave Ste 1a
Fort Lee, NJ 07024-6927

Mailing address

1622 Parker Ave Ste 1a
Fort Lee, NJ 07024-6927
Phone (201) 461-4646

Other identifiers 1

IdentifierTypeStateIssuer
1861859092MedicaidNJ

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
28RS00748100NJMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Maria Pharmacy Inc. Current Accepting new patients
Bergen Care Pharmacy Inc Pharmacy CurrentSince Feb 23, 2025 Accepting new patients
Bienestar LLC Pharmacy Current Accepting new patients

Organizations & group practices 3

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": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1316742828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 PARKER AVE STE 1A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246927",
            "telephone_number": "201-461-4646",
            "fax_number": "201-461-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 PARKER AVE STE 1A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246927",
            "telephone_number": "201-461-4646",
            "fax_number": "201-461-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "WAQAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00748100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861859092",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.