Active NPI
Rabia Malik
- Pharmacist
- Ridgewood, NY
National Provider Identifier
1427568385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063476
- Practice address
- 5711 Myrtle Ave
Ridgewood, NY 11385 - Phone
- (718) 456-2602
- NPI assigned
- Oct 5, 2017
- Last updated
- Jul 3, 2018
- Sex
- Female
- 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 | 063476 | NY | Primary |
Addresses
Primary practice location
5711 Myrtle Ave
Ridgewood, NY 11385
Mailing address
372 Keller Ave
Elmont, NY 11003-3136
Phone (347) 901-0805
Other practice location 1
1338 Broadway
Hewlett, NY 11557-2113
Phone (347) 901-0805
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 |
|---|---|---|---|
| 063476 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1427568385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 KELLER AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033136",
"telephone_number": "347-901-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5711 MYRTLE AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "11385",
"telephone_number": "718-456-2602"
}
],
"practiceLocations": [
{
"address_1": "1338 Broadway",
"address_purpose": "LOCATION",
"city": "Hewlett",
"state": "NY",
"postal_code": "115572113",
"country_code": "US",
"telephone_number": "347-901-0805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALIK",
"first_name": "RABIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.