Active NPI
Eba Alkasrawi, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1760043137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065357-1
- Practice address
- 2539 W 15TH St Apt C1
Brooklyn, NY 11214-6973 - Phone
- (929) 351-9614
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- 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 | 065357-1 | NY | Primary |
Addresses
Primary practice location
2539 W 15TH St Apt C1
Brooklyn, NY 11214-6973
Mailing address
1185 Fulton St
Brooklyn, NY 11216-1810
Phone (718) 484-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Health Information Exchange (HIE) |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065357-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC 325 LLC | Current | Accepting new patients | |
| TMC 62 LLC | Current | Accepting new patients |
Organizations & group practices 2
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": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1760043137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112161810",
"telephone_number": "718-484-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2539 W 15TH ST APT C1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112146973",
"telephone_number": "929-351-9614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKASRAWI",
"first_name": "EBA",
"name_prefix": "Miss",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065357-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Email",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Medications prescribed",
"address_1": "2539 W 15th St Apt C1",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112146973",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.