Asim Mohammed Abu-Baker, PHARM.D.
Individual provider Active NPI Pharmacist · Rochester, NY
NPI 1679768337 · NPPES record last updated Sep 6, 2007
Key facts
- NPI
- 1679768337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 049531-1 (NY)
- Practice address
- 82 Holland St
Rochester, NY 14605-2131 - Phone
- (585) 423-2885
- Fax
- (585) 423-2882
- NPI assigned
- Sep 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049531-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St John Fisher College | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 049531-1 | NY | Yes |
Addresses
Primary practice location
82 Holland St
Rochester, NY 14605-2131
Mailing address
3690 East Ave
Rochester, NY 14618-3537
Phone (585) 385-7379
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.