Individual provider Active NPI

Maryam Kheirabi, PHARMD

  • Pharmacist
  • Glen Oaks, NY
National Provider Identifier
1457675340
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
053168 Issued in NY
Practice address
26181 Langston Ave
Glen Oaks, NY 11004-1040
Phone
(212) 444-2265
NPI assigned
Mar 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 053168 NY Primary

Addresses

Primary practice location

26181 Langston Ave
Glen Oaks, NY 11004-1040

Mailing address

26181 Langston Ave
Glen Oaks, NY 11004-1040
Phone (212) 444-2265

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
053168NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1457675340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26181 LANGSTON AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041040",
            "telephone_number": "212-444-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26181 LANGSTON AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041040",
            "telephone_number": "212-444-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEIRABI",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-21",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.