Active NPI
Samira Laila Sabra
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1396926929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049836
- Practice address
- 120 Court Street
Brooklyn, NY 11201 - Phone
- (718) 643-2146
- NPI assigned
- Nov 26, 2007
- Sex
- Female
- 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 | 049836 | NY | Primary |
Addresses
Primary practice location
120 Court Street
Brooklyn, NY 11201
Mailing address
7035 Perry Terrace
Brooklyn, NY 11209
Phone (917) 816-8652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02497056 | Medicaid | NY |
Other names 1
- Samira Laila Sabra
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 |
|---|---|---|---|
| 049836 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1396926929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7035 PERRY TERRACE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "917-816-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 COURT STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-643-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABRA",
"first_name": "SAMIRA",
"middle_name": "LAILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02497056",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAMIRA",
"last_name": "SABRA",
"middle_name": "LAILA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.