Active NPI
Shafqat A Mir, PHARMACIST
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1730218975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029262
- Practice address
- 1631 Pitkin Ave
Brooklyn, NY 11212-5050 - Phone
- (718) 938-0853
- NPI assigned
- Mar 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 029262 | NY | Primary |
Addresses
Primary practice location
1631 Pitkin Ave
Brooklyn, NY 11212-5050
Mailing address
58 Cherry St
First Floor
Jersey City, NJ 07305-4818
Phone (201) 938-0853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01467330 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 029262 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730218975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 CHERRY ST",
"address_2": "FIRST FLOOR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073054818",
"telephone_number": "201-938-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112125050",
"telephone_number": "718-938-0853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIR",
"first_name": "SHAFQAT",
"middle_name": "A",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "029262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01467330",
"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 9, 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.