Individual provider Active NPI

Mahbub Zaman Khundkar, RPH

  • Pharmacist
  • Sunnyside, NY
National Provider Identifier
1558648162
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
061616-1 Issued in NY
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

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PS42320FLMDPharmacist
18649MDMDPharmacist
28RI03404200NJMDPharmacist
061616-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.