Individual provider Active NPI

Mujeeb Unnisa-Qadir, PHARM. D

  • Pharmacist
  • Chappaqua, NY
National Provider Identifier
1508290149
Registry record updated Aug 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
056686 Issued in NY
Practice address
16 Flag Hill Rd
Chappaqua, NY 10514-3032
Phone
(917) 628-0018
NPI assigned
Aug 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056686 NY Primary

Addresses

Primary practice location

16 Flag Hill Rd
Chappaqua, NY 10514-3032

Mailing address

16 Flag Hill Rd
Chappaqua, NY 10514-3032
Phone (917) 628-0018

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
056686NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1377907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377907200000",
    "number": "1508290149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FLAG HILL RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143032",
            "telephone_number": "917-628-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FLAG HILL RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143032",
            "telephone_number": "917-628-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNNISA-QADIR",
        "first_name": "MUJEEB",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-31",
        "last_updated": "2013-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappaqua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2013; 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.