Individual provider Active NPI

Shahinul Haque, PHARM.D

  • Pharmacist
  • Corona, NY
National Provider Identifier
1528397270
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
053839 Issued in NY
Practice address
9608 Northern Blvd
Corona, NY 11368-1046
Phone
(917) 547-3335
NPI assigned
Dec 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 053839 NY Primary

Addresses

Primary practice location

9608 Northern Blvd
Corona, NY 11368-1046

Mailing address

9608 Northern Blvd
Corona, NY 11368-1046
Phone (917) 547-3335

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
053839NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
One Family Pharmacy Inc. CurrentSince Jan 1, 2022 Accepting new patients
Infinite RX Solutions Inc Pharmacist Current Accepting new patients

Locations

9608 Northern Blvd
Corona, NY 11368
Phone (718) 255-1813

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1528397270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 NORTHERN BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681046",
            "telephone_number": "917-547-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 NORTHERN BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681046",
            "telephone_number": "917-547-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "SHAHINUL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.