Active NPI
Mahbub Zaman Khundkar, RPH
- Pharmacist
- Sunnyside, NY
National Provider Identifier
1558648162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061616-1
- Practice address
- 4504 Greenpoint Avenue
Sunnyside, NY 11104 - Phone
- (917) 396-4944
- NPI assigned
- Nov 10, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS42320 | FL | |
| Pharmacist | 183500000X | 061616-1 | NY | Primary |
| Pharmacist | 183500000X | 28RI03404200 | NJ | |
| Pharmacist | 183500000X | 18649 | MD |
Addresses
Primary practice location
4504 Greenpoint Avenue
Sunnyside, NY 11104
Mailing address
1930 7TH St
North Brunswick, NJ 08902-4535
Phone (786) 252-3357
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS42320 | FL | MD | Pharmacist |
| 18649 | MD | MD | Pharmacist |
| 28RI03404200 | NJ | MD | Pharmacist |
| 061616-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Pharmacy Inc | Current | Accepting new patients |
Locations
4504 Greenpoint Ave
Sunnyside, NY 11104
Phone (917) 396-4944
Organizations & group practices 1
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.
-
- Pharmacy
- Jamaica, NY
- NPI 1881137875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1558648162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 7TH ST",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089024535",
"telephone_number": "786-252-3357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4504 GREENPOINT AVENUE",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "11104",
"telephone_number": "917-396-4944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHUNDKAR",
"first_name": "MAHBUB",
"middle_name": "ZAMAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-10",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42320",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061616-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03404200",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18649",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.