Active NPI
Ashraf Ashamalla, R.PH.
- Pharmacist
- Bayonne, NJ
National Provider Identifier
1760664908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046995-1
- Practice address
- 651 Broadway
Bayonne, NJ 07002-4710 - Phone
- (201) 339-1200
- Fax
- (201) 339-1144
- NPI assigned
- Nov 29, 2007
- Sex
- Male
- 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 | 28RI028217 | NJ | |
| Pharmacist | 183500000X | 046995-1 | NY | Primary |
Addresses
Primary practice location
651 Broadway
Bayonne, NJ 07002-4710
Mailing address
101 Dutch Rd
East Brunswick, NJ 08816-2507
Phone (201) 993-0978
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046995-1 | Other | NY | STATE LICENSE |
| 28RI028217 | Other | NJ | STATE LICENSE |
Other names 1
- Ashraf Eshak Ashamalla
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 |
|---|---|---|---|
| 28RI028217 | NJ | MD | Pharmacist |
| 046995-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Life Pharmacy Corp | 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.
-
- Community/Retail Pharmacy
- Bayonne, NJ
- NPI 1255475711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1760664908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DUTCH RD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088162507",
"telephone_number": "201-993-0978",
"fax_number": "201-339-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024710",
"telephone_number": "201-339-1200",
"fax_number": "201-339-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHAMALLA",
"first_name": "ASHRAF",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2021-11-23",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI028217",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046995-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "046995-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "28RI028217",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHRAF",
"last_name": "ASHAMALLA",
"middle_name": "ESHAK",
"credential": "R.PH.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.