Active NPI
Bahareh K Nazarian, PHARM D.
- Pharmacist
- New York, NY
National Provider Identifier
1750607461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054136
- Practice address
- 345 Hudson St
New York, NY 10014-4502 - Phone
- (212) 989-1400
- NPI assigned
- Apr 20, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 054136 | NY | Primary |
Addresses
Primary practice location
345 Hudson St
New York, NY 10014-4502
Mailing address
10 Brown Rd
Great Neck, NY 11024-1449
Phone (516) 647-0018
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 |
|---|---|---|---|
| 054136 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Square Pharmacy | Pharmacist | Past | Accepting new patients |
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.
-
- Pharmacist
- New York, NY
- NPI 1013148543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1750607461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BROWN RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110241449",
"telephone_number": "516-647-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 HUDSON ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100144502",
"telephone_number": "212-989-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIAN",
"first_name": "BAHAREH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.