Individual provider Active NPI

Mohammad Asabur Rahman, PHARMACIST

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1710106505
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
031926 Issued in NY
Practice address
1901 Avenue M
Brooklyn, NY 11230-6201
Phone
(718) 377-1680
Fax
(718) 951-7520
NPI assigned
Apr 24, 2007
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 031926 NY Primary

Addresses

Primary practice location

1901 Avenue M
Brooklyn, NY 11230-6201

Mailing address

770 Captains Gate
Westbury, NY 11590-5811
Phone (718) 377-1680

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
031926NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Y and Z Pharmacy Inc Current Accepting new patients

Locations

1901 Avenue M
Brooklyn, NY 11230
Phone (718) 377-1680

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710106505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CAPTAINS GATE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905811",
            "telephone_number": "718-377-1680",
            "fax_number": "718-951-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306201",
            "telephone_number": "718-377-1680",
            "fax_number": "718-951-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MOHAMMAD",
        "middle_name": "ASABUR",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031926",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.