Individual provider Active NPI

Maurice M. Harbon, PHARM.D

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1417273897
Registry record updated Apr 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047384 Issued in NY
Practice address
1662 W 2ND St
Brooklyn, NY 11223-1624
Phone
(610) 283-3273
Fax
(718) 758-5060
NPI assigned
Apr 11, 2010
Last updated
Apr 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047384 NY Primary

Addresses

Primary practice location

1662 W 2ND St
Brooklyn, NY 11223-1624

Mailing address

1662 W 2ND St
Brooklyn, NY 11223-1624
Phone (610) 283-3273

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
047384NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1270944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270944000000",
    "number": "1417273897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 W 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231624",
            "telephone_number": "610-283-3273",
            "fax_number": "718-758-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 W 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231624",
            "telephone_number": "610-283-3273",
            "fax_number": "718-758-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBON",
        "first_name": "MAURICE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-11",
        "last_updated": "2010-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 11, 2010; 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.