Individual provider Active NPI

Mohammed Shafiul Alam, RPH

  • Pharmacist
  • Bellmore, NY
National Provider Identifier
1609107713
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
032146 Issued in NY
Practice address
2544 S Saint Marks Ave
Bellmore, NY 11710-5010
Phone
(516) 398-0346
Fax
(718) 291-4205
NPI assigned
Jan 29, 2010
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 032146 NY Primary

Addresses

Primary practice location

2544 S Saint Marks Ave
Bellmore, NY 11710-5010

Mailing address

2544 S Saint Marks Ave
Bellmore, NY 11710-5010
Phone (516) 398-0346

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
032146NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1609107713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 S SAINT MARKS AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105010",
            "telephone_number": "516-398-0346",
            "fax_number": "718-291-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 S SAINT MARKS AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105010",
            "telephone_number": "516-398-0346",
            "fax_number": "718-291-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "MOHAMMED",
        "middle_name": "SHAFIUL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "032146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.