Individual provider Active NPI

Daniel Nathan Shafman

  • Pharmacist
  • Forest Hills, NY
National Provider Identifier
1437929536
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
071284 Issued in NY
Practice address
6346 108TH St
Forest Hills, NY 11375-1350
Phone
(718) 304-1550
NPI assigned
Jan 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 071284 NY Primary

Addresses

Primary practice location

6346 108TH St
Forest Hills, NY 11375-1350

Mailing address

6346 108TH St
Forest Hills, NY 11375-1350
Phone (718) 304-1550

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

LicenseStateTypeSpecialty
071284NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Leader RX Pharmacy LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

6346 108th St
Forest Hills, NY 11375
Phone (718) 304-1550

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": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1437929536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6346 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751350",
            "telephone_number": "718-304-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6346 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751350",
            "telephone_number": "718-304-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFMAN",
        "first_name": "DANIEL",
        "middle_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "071284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.