Individual provider Active NPI

Albert Amirov

  • Pharmacist
  • Hackensack, NJ
National Provider Identifier
1700020476
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02481700 Issued in NJ
Practice address
123 Anderson St
Hackensack, NJ 07601-3503
Phone
(201) 488-0654
Fax
(201) 883-1619
NPI assigned
Apr 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02481700 NJ Primary
Pharmacist 183500000X 045852-1 NY

Addresses

Primary practice location

123 Anderson St
Hackensack, NJ 07601-3503

Mailing address

123 Anderson St
Hackensack, NJ 07601-3503
Phone (201) 488-0654

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

State licenses

LicenseStateTypeSpecialty
28RI02481700NJMDPharmacist
045852-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1700020476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ANDERSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013503",
            "telephone_number": "201-488-0654",
            "fax_number": "201-883-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ANDERSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013503",
            "telephone_number": "201-488-0654",
            "fax_number": "201-883-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIROV",
        "first_name": "ALBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-26",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02481700",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045852-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.