Shakil A Farooqui

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03623000 Issued in NJ

Practice address

353 Crooks Ave
Clifton, NJ 07011-1660

Phone

(862) 225-9432

NPI assigned

Feb 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crooks Avenue Pharmacy Corporation

  • Community/Retail Pharmacy
  • Paterson, NJ
  • NPI 1477979649
  NPD (past)

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1477859569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W SIDE AVE",
            "address_2": "APT. #2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073066530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 CROOKS AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111660",
            "telephone_number": "862-225-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQUI",
        "first_name": "SHAKIL",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055445",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03623000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Anne Fanelli, PT, DPT
• Mark D Fano, DC
• Fares Diarbakerli MD PC
• John J Farkas, MD
• Kezia Farley, RBT
• Shafeeka Farsakh, MS-CCC-SLP
• Fastclinics NA LLC
• Fastmed of NJ LLC
• George Fattal
• Majedah Fayed, OPTICIAN

• Pharmacist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.