Rebecca Y Amirzadeh – Pharmacist in Brooklyn, NY

Key facts

NPI: 1346953189
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 069889 (NY)
Practice address: 306 Clarkson Ave
Brooklyn, NY 11226-2204
Phone: (718) 902-8871
NPI assigned: Dec 26, 2022
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
069889	NY	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist Group: 193200000X MULTI-SPECIALTY GROUP	183500000X	069889	NY	Yes

Addresses

Primary practice location

306 Clarkson Ave
Brooklyn, NY 11226-2204

Mailing address

1517 E 28TH St
Brooklyn, NY 11229-1801

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	NA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 26, 2022.

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1346953189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 E 28TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262204",
            "telephone_number": "718-902-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRZADEH",
        "first_name": "REBECCA",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "306 Clarkson Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112262204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

All providers in Brooklyn, NY · Pharmacist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.