Active NPI
Mohammed Latif
- Pharmacist
- Elmira, NY
National Provider Identifier
1487889721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 034159
- Practice address
- 116 Second St.
Elmira, NY 14908 - Phone
- (607) 733-5232
- NPI assigned
- May 15, 2009
- Last updated
- May 15, 2009
- Sex
- Male
- 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 | 034159 | NY | Primary |
Addresses
Primary practice location
116 Second St.
Elmira, NY 14908
Mailing address
42 Davenport Rd
Big Flats, NY 14814-9762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W1668 04921-01 | Other | NY | AETNA |
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 |
|---|---|---|---|
| 034159 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1487889721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 DAVENPORT RD",
"city": "BIG FLATS",
"state": "NY",
"postal_code": "148149762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 SECOND ST.",
"city": "ELMIRA",
"state": "NY",
"postal_code": "14908",
"telephone_number": "607-733-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIF",
"first_name": "MOHAMMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "034159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "W1668 04921-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.