Active NPI
Ismail Syed, RPH
- Pharmacist
- Grants Pass, OR
National Provider Identifier
1366139057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0019036
- Practice address
- Albertsons Pharmacy
1690 Allen Creek Rd
Grants Pass, OR 97527 - Phone
- (541) 471-2148
- NPI assigned
- Apr 21, 2023
- 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 | RPH-0019036 | OR | Primary |
Addresses
Primary practice location
Albertsons Pharmacy
1690 Allen Creek Rd
Grants Pass, OR 97527
Mailing address
Albertsons Pharmacy
1690 Allen Creek Rd
Grants Pass, OR 97527
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0019036 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1366139057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALBERTSONS PHARMACY",
"address_2": "1690 ALLEN CREEK RD",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALBERTSONS PHARMACY",
"address_2": "1690 ALLEN CREEK RD",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97527",
"telephone_number": "541-471-2148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYED",
"first_name": "ISMAIL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-21",
"last_updated": "2023-04-21",
"certification_date": "2023-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0019036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.