Active NPI
Bijan Chimere Mekoba, PHARMD, MS, 340B ACE
- Pharmacist
- New York, NY
National Provider Identifier
1659876928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063081-1
- Practice address
- 550 1St Ave
New York, NY 10016-6402 - Phone
- (646) 629-9771
- NPI assigned
- Mar 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25265 | NC | |
| Ambulatory Care Pharmacist | 1835P2201X | 063081-1 | NY | |
| Pharmacist | 183500000X | 063081-1 | NY | Primary |
Addresses
Primary practice location
550 1St Ave
New York, NY 10016-6402
Mailing address
74 Palisade Ave Apt 3
Jersey City, NJ 07306-1118
Phone (908) 875-9916
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
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25265 | NC | MD | Pharmacist |
| 063081-1 | NY | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1659876928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 PALISADE AVE APT 3",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061118",
"telephone_number": "908-875-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "646-629-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEKOBA",
"first_name": "BIJAN",
"middle_name": "CHIMERE",
"credential": "PHARMD, MS, 340B ACE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-28",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25265",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "NY",
"license": "063081-1",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063081-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.