NPIMap

Individual provider Active NPI

Ashraf Moustafa

  • Pharmacist
  • Enfield, CT
National Provider Identifier
1326496811
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0011861 Issued in CT
Practice address
15 Palomba Dr
Enfield, CT 06082-3888
Phone
(860) 745-0183
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0011861 CT Primary

Addresses

Primary practice location

15 Palomba Dr
Enfield, CT 06082-3888

Mailing address

15 Palomba Dr
Enfield, CT 06082-3888
Phone (860) 745-0183

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye of Horus Pharmaceutical Services,LLC Current Accepting new patients
Eye of Horus Pharmaceutical Services,LLC Current Accepting new patients

Locations

15 Palomba Dr
Enfield, CT 06082
Phone (860) 741-0764

Organizations & group practices 2

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1326496811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PALOMBA DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823888",
            "telephone_number": "860-745-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PALOMBA DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823888",
            "telephone_number": "860-745-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSTAFA",
        "first_name": "ASHRAF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0011861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.