Shadi Ahmed, PHARMD, CCP, RPH
Individual provider Active NPI Pharmacist · Edison, NJ
NPI 1508907668 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508907668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02998400 (NJ)
- Practice address
- 95 Newfield Ave
Edison, NJ 08837-3824 - Phone
- (732) 346-1333
- Fax
- (732) 346-1999
- NPI assigned
- Feb 10, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02998400 | NJ | MD | Pharmacist |
| 20 051353 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02998400 | NJ | Yes |
| Pharmacist | 183500000X | 20 051353 | NY |
Addresses
Primary practice location
95 Newfield Ave
Edison, NJ 08837-3824
Mailing address
26 Bolivar St
Staten Island, NY 10314-5604
Phone (718) 494-6077
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.