Active NPI
Mohammed Safiul Alam, PHARM.D.
- Pharmacist
- New York, NY
National Provider Identifier
1497087613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053821
- Practice address
- 4 Park Ave
New York, NY 10016-5339 - Phone
- (212) 683-5532
- Fax
- (212) 532-8310
- NPI assigned
- Feb 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053821 | NY | Primary |
| Pharmacist | 183500000X | PCT.0011706 | CT | |
| Pharmacist | 183500000X | 28RI03485700 | NJ |
Addresses
Primary practice location
4 Park Ave
New York, NY 10016-5339
Mailing address
4 Park Ave
New York, NY 10016-5339
Phone (212) 683-5532
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
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0011706 | CT | MD | Pharmacist |
| 28RI03485700 | NJ | MD | Pharmacist |
| 053821 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1497087613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165339",
"telephone_number": "212-683-5532",
"fax_number": "212-532-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165339",
"telephone_number": "212-683-5532",
"fax_number": "212-532-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAM",
"first_name": "MOHAMMED",
"middle_name": "SAFIUL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-13",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053821",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0011706",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03485700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.