Active NPI
Fareed Ismail, RPH
- Pharmacist
- Albany, NY
National Provider Identifier
1386820728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048999
- Practice address
- 17 N Pearl St
Albany, NY 12207-2701 - Phone
- (518) 434-6024
- Fax
- (518) 626-0859
- NPI assigned
- Jan 16, 2008
- 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 | 048999 | NY | Primary |
Addresses
Primary practice location
17 N Pearl St
Albany, NY 12207-2701
Mailing address
17 N Pearl St
Albany, NY 12207-2701
Phone (518) 434-6024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1542561 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1386820728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 N PEARL ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072701",
"telephone_number": "518-434-6024",
"fax_number": "518-626-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 N PEARL ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072701",
"telephone_number": "518-434-6024",
"fax_number": "518-626-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAIL",
"first_name": "FAREED",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-16",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1542561",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.