Individual provider Active NPI

Samiulla Sharief, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1689735243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
032250 Issued in NY
Practice address
1711 Pitkin Ave
Brooklyn, NY 11212-6601
Phone
(718) 346-7200
Fax
(718) 495-1321
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 032250 NY Primary

Addresses

Primary practice location

1711 Pitkin Ave
Brooklyn, NY 11212-6601

Mailing address

238 Tulip Ave
Floral Park, NY 11001-2800
Phone (516) 354-7468

Other identifiers 1

IdentifierTypeStateIssuer
032250OtherNYSTATE PHARMACIT LICENSE

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
032250NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689735243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012800",
            "telephone_number": "516-354-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126601",
            "telephone_number": "718-346-7200",
            "fax_number": "718-495-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIEF",
        "first_name": "SAMIULLA",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "032250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIT LICENSE",
            "identifier": "032250",
            "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 Jul 8, 2007; 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.