Jawaid Alam, RPH
Individual provider Active NPI Pharmacist · Endicott, NY
NPI 1437339181 · NPPES record last updated Nov 10, 2007
Key facts
- NPI
- 1437339181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 031450 (NY)
- Practice address
- 100 E Main St
Endicott, NY 13760-4815 - Phone
- (607) 754-4372
- NPI assigned
- Nov 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 031450 | NY | Yes |
Addresses
Primary practice location
100 E Main St
Endicott, NY 13760-4815
Mailing address
100 E Main St
Endicott, NY 13760-4815
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01688233 | Medicaid | NY |
Other providers in Endicott, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.