Active NPI
Ali Tarektaha Erfan, PHARMD
- Pharmacist
- Staten Island, NY
National Provider Identifier
1609752310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 072963
- Practice address
- 121 Lafayette Ave
Staten Island, NY 10301-1249 - Phone
- (718) 524-7099
- Fax
- (718) 524-5700
- NPI assigned
- Aug 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 072963 | NY | Primary |
Addresses
Primary practice location
121 Lafayette Ave
Staten Island, NY 10301-1249
Mailing address
472 Lincoln Ave
Staten Island, NY 10306-5441
Phone (917) 499-5240
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 |
|---|---|---|---|
| 072963 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrix Pharma Corp | Current | Accepting new patients | |
| Hendrix Pharma Corp | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Staten Island, NY
- NPI 1386316909
-
- Long Term Care Pharmacy
- Staten Island, NY
- NPI 1962370957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1609752310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472 LINCOLN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103065441",
"telephone_number": "917-499-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 LAFAYETTE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103011249",
"telephone_number": "718-524-7099",
"fax_number": "718-524-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERFAN",
"first_name": "ALI",
"middle_name": "TAREKTAHA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-15",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "072963",
"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 Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.