Active NPI
Sanaullah Mehirdel, PHARM. D
- Pharmacist
- Bronx, NY
National Provider Identifier
1578047296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063884
- Practice address
- 2112 White Plains Rd
Bronx, NY 10462-1404 - Phone
- (718) 597-3000
- NPI assigned
- Sep 18, 2018
- Last updated
- Sep 18, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 063884 | NY | Primary |
Addresses
Primary practice location
2112 White Plains Rd
Bronx, NY 10462-1404
Mailing address
15036 20TH Rd FL 1
Whitestone, NY 11357-3602
Phone (718) 223-3692
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
| License | State | Type | Specialty |
|---|---|---|---|
| 063884 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barakat Pharmacy Inc | Current | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1578047296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15036 20TH RD FL 1",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573602",
"telephone_number": "718-223-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104621404",
"telephone_number": "718-597-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHIRDEL",
"first_name": "SANAULLAH",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.