Organization Active NPI

ABA Noub LTD

Doing business as Joseph Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1639116478
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ABA NOUB LTD
Doing business as
Joseph Pharmacy
Practice address
216 W 72ND St
New York, NY 10023-2805
Phone
(212) 875-1718
NPI assigned
Jun 1, 2006
Last updated
Apr 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Mr. Sherif El Tahawy, RPHNPI 1124200936
Title
President
Phone
(212) 875-1718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NY Primary

Addresses

Primary practice location

216 W 72ND St
New York, NY 10023-2805

Mailing address

216 W 72ND St
New York, NY 10023-2805
Phone (212) 875-1718

Other identifiers 1

IdentifierTypeStateIssuer
01385515MedicaidNY

Other names 1

  • JOSEPH PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100923000837 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6901922277 Practice locations: New York, NY
O20100930091102 NY DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Registered Pharmacist 6901922277 Practice locations: New York, NY
O20240529001490 NY Part B Supplier - Pharmacy 6901922277 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
ABA Noub LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1639116478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232805",
            "telephone_number": "212-875-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232805",
            "telephone_number": "212-875-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA NOUB LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "EL TAHAWY",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-875-1718",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01385515",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOSEPH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.