Individual provider Active NPI

Mina Samy Millad-Aziz, RPH

  • Pharmacist
  • Staten Island, NY
National Provider Identifier
1558837898
Registry record updated Oct 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
064864 Issued in NY
Practice address
1064 Rockland Ave
Staten Island, NY 10314-4925
Phone
(347) 838-1614
NPI assigned
Oct 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 064864 NY Primary

Addresses

Primary practice location

1064 Rockland Ave
Staten Island, NY 10314-4925

Mailing address

1064 Rockland Ave
Staten Island, NY 10314-4925
Phone (347) 838-1614

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
064864NYMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1558837898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 ROCKLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144925",
            "telephone_number": "347-838-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 ROCKLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144925",
            "telephone_number": "347-838-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAD-AZIZ",
        "first_name": "MINA",
        "middle_name": "SAMY",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.