Active NPI
Hameed A Mirza, R.PH
- Pharmacist
- New York, NY
National Provider Identifier
1417279704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039019
- Practice address
- 101 Sherman Ave
New York, NY 10034-5626 - Phone
- (212) 567-2753
- Fax
- (212) 942-1668
- NPI assigned
- Feb 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 039019 | NY | Primary |
Addresses
Primary practice location
101 Sherman Ave
New York, NY 10034-5626
Mailing address
PO Box 3048
Jersey City, NJ 07303-3048
Phone (551) 208-4243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039019 | Other | NY | LICENSE NO. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039019 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMS Pharmacy Corp. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786233600000",
"number": "1417279704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3048",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073033048",
"telephone_number": "551-208-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SHERMAN AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100345626",
"telephone_number": "212-567-2753",
"fax_number": "212-942-1668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRZA",
"first_name": "HAMEED",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-27",
"last_updated": "2026-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "039019",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.