Active NPI
Lila Ahmed Moustafa, PHARMD.
- Pharmacist
- Commack, NY
National Provider Identifier
1740619022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058254
- Practice address
- 500 Commack Rd
Commack, NY 11725-5020 - Phone
- (631) 855-1200
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051297248 | IL | |
| Pharmacist | 183500000X | 058254 | NY | Primary |
Addresses
Primary practice location
500 Commack Rd
Commack, NY 11725-5020
Mailing address
26 Wiltshire Dr
Commack, NY 11725-3321
Phone (631) 833-1498
Other practice location 1
6704 Joliet Rd
Countryside, IL 60525-4577
Phone (708) 246-3337
Other names 1
- Lila Ahmed
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lila.moustafa@direct.stonybrookmedicine.edu |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058254 | NY | MD | Dentist |
| 051297248 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1740619022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 WILTSHIRE DR",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253321",
"telephone_number": "631-833-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 COMMACK RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117255020",
"telephone_number": "631-855-1200"
}
],
"practiceLocations": [
{
"address_1": "6704 Joliet Rd",
"address_purpose": "LOCATION",
"city": "Countryside",
"state": "IL",
"postal_code": "605254577",
"country_code": "US",
"telephone_number": "708-246-3337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUSTAFA",
"first_name": "LILA",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051297248",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058254",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lila.moustafa@direct.stonybrookmedicine.edu",
"affiliation": "N",
"address_1": "500 Commack Rd",
"city": "Commack",
"state": "NY",
"country_code": "US",
"postal_code": "117255020",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LILA",
"last_name": "AHMED",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.