Organization Active NPI

Noha Pharmacy Inc.

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1609850189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
019736 Issued in NY
Legal business name
NOHA PHARMACY INC.
Practice address
291 Knickerbocker Ave
Brooklyn, NY 11237-3103
Phone
(718) 456-5475
Fax
(718) 501-1003
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ahmed Mahmoud Negm
Title
Supervisor/Pharmacist
Phone
(718) 456-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 019736 NY Primary

Addresses

Primary practice location

291 Knickerbocker Ave
Brooklyn, NY 11237-3103

Mailing address

291 Knickerbocker Ave
Brooklyn, NY 11237-3103

Other identifiers 1

IdentifierTypeStateIssuer
01058891MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609850189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373103",
            "telephone_number": "718-456-5475",
            "fax_number": "718-501-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOHA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEGM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "SUPERVISOR/PHARMACIST",
        "authorized_official_telephone_number": "718-456-5475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "019736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01058891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.