Individual provider Active NPI

Nusrat Nabilah Tabassum, PHARMD, RPH

  • Pharmacist
  • Woodside, NY
National Provider Identifier
1639078033
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
073936 Issued in NY
Practice address
6305 39TH Ave
Woodside, NY 11377-2858
Phone
(718) 663-2805
NPI assigned
Nov 2, 2026
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 073936 NY Primary

Addresses

Primary practice location

6305 39TH Ave
Woodside, NY 11377-2858

Mailing address

6305 39TH Ave
Woodside, NY 11377-2858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1639078033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 39TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 39TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772858",
            "telephone_number": "718-663-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABASSUM",
        "first_name": "NUSRAT",
        "middle_name": "NABILAH",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "073936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.