Nadeem Baalbaki, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

28RI04178900 Issued in NJ

Practice address

124 Laconia Ave
Staten Island, NY 10305-2416

Phone

(347) 308-4367

NPI assigned

Sep 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1558084301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LACONIA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052416",
            "telephone_number": "347-308-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LACONIA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052416",
            "telephone_number": "347-308-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAALBAKI",
        "first_name": "NADEEM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "065515",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NJ",
            "license": "28RI04178900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B & T West Brighton Pharmacy Inc.
• B&a Pharmacy Corp
• B&T Port Richmond Pharmacy Inc.
• B&V Optical
• B&Voptical
• Inna Babakhanova
• Mikhail Babayan, DMD
• Estera Babayeva, FNP
• Irina Baboshkina, PHARM.D
• Archana Babu, PA-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.