Iman Masri
Individual provider Active NPI Pharmacist · Clifton, NJ
NPI 1366764649 · NPPES record last updated Feb 27, 2010
Key facts
- NPI
- 1366764649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0536921 (NY)
- Practice address
- 170 E 6TH St
Clifton, NJ 07011-1744 - Phone
- (201) 213-6005
- NPI assigned
- Feb 27, 2010
- 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 |
|---|---|---|---|
| 0536921 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0536921 | NY | Yes |
Addresses
Primary practice location
170 E 6TH St
Clifton, NJ 07011-1744
Mailing address
170 E 6TH St
Clifton, NJ 07011-1744
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2010. 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.