Active NPI
M.Hasan Imam
- Pharmacist
- Glen Oaks, NY
National Provider Identifier
1356673966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033001
- Practice address
- 25709 Union Tpke
Glen Oaks, NY 11004-1250 - Phone
- (718) 962-2906
- NPI assigned
- Feb 6, 2010
- Last updated
- Feb 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033001 | NY | Primary |
Addresses
Primary practice location
25709 Union Tpke
Glen Oaks, NY 11004-1250
Mailing address
81 Inwood Rd
Port Washington, NY 11050-1519
Phone (516) 883-2857
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
| License | State | Type | Specialty |
|---|---|---|---|
| 033001 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | 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, 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": "1265414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265414400000",
"number": "1356673966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 INWOOD RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110501519",
"telephone_number": "516-883-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25709 UNION TPKE",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041250",
"telephone_number": "718-962-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMAM",
"first_name": "M.HASAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-06",
"last_updated": "2010-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "033001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.