Individual provider Active NPI

Arafath Shamsuddin, PHARMD

  • Pharmacist
  • Astoria, NY
National Provider Identifier
1386042943
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1059840-1 Issued in NY
Practice address
3627 30TH St Apt 2F
Astoria, NY 11106-3216
Phone
(347) 666-8088
NPI assigned
Dec 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1059840-1 NY Primary

Addresses

Primary practice location

3627 30TH St Apt 2F
Astoria, NY 11106-3216

Mailing address

3627 30TH St Apt 2F
Astoria, NY 11106-3216
Phone (347) 666-8088

Other identifiers 1

IdentifierTypeStateIssuer
1059840-1OtherNYLICENSE

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
1059840-1NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1386042943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 30TH ST APT 2F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063216",
            "telephone_number": "347-666-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 30TH ST APT 2F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063216",
            "telephone_number": "347-666-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSUDDIN",
        "first_name": "ARAFATH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "1059840-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1059840-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.