Individual provider Active NPI

Shahab Ahmed, M.PHARM

  • Pharmacist
  • Long Island City, NY
National Provider Identifier
1326296302
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033930 Issued in NY
Practice address
3012 36TH Ave
Long Island City, NY 11106-2315
Phone
(718) 392-8049
Fax
(718) 729-0165
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 033930 NY Primary

Addresses

Primary practice location

3012 36TH Ave
Long Island City, NY 11106-2315

Mailing address

5 Pironi CT
Woodbury, NY 11797-1229
Phone (718) 392-8049

Other identifiers 1

IdentifierTypeStateIssuer
033930OtherNYNEW YORK STATE PHARMACIST LICENSE NUMBER

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
033930NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
M. and S. Drugs, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1326296302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PIRONI CT",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971229",
            "telephone_number": "718-392-8049",
            "fax_number": "718-729-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 36TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062315",
            "telephone_number": "718-392-8049",
            "fax_number": "718-729-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAHAB",
        "name_prefix": "Mr.",
        "credential": "M.PHARM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "033930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE PHARMACIST LICENSE NUMBER",
            "identifier": "033930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.