Mohammad Monirul Islam

Primary specialty

PharmacistTaxonomy code 183500000X

License

I069674 Issued in NY

Practice address

1688 Westchester Ave
Bronx, NY 10472-3010

Phone

(718) 842-2217

NPI assigned

Dec 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• CVS Albany LLC

  • Pharmacy
  • Bronx, NY
  • NPI 1780986661
  NPD
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1417669706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723010",
            "telephone_number": "718-842-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723010",
            "telephone_number": "718-842-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MOHAMMAD",
        "middle_name": "MONIRUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I069674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rxnet",
            "affiliation": "N",
            "address_1": "1688 Westchester Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104723010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ali-Mohammed Waliul Islam, D.O.
• Dilruba Islam, D.D.S
• Fahim Islam, PHARMD
• Kazi Fahmida Islam, PHARM D.
• Marjan Islam, M.D.
• Rushdan Islam, PHARM D.
• Sayma Islam
• Sheikh Islam
• Tanjela Islam
• Zinnia Islam

• Pharmacist in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.