Active NPI
Ahmed M Sabra
- Pharmacist
- New York, NY
National Provider Identifier
1770501348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040405
- Practice address
- 543 Malcolm X Blvd
New York, NY 10037-1806 - Phone
- (212) 283-2136
- Fax
- (212) 283-2463
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 040405 | NY | Primary |
Addresses
Primary practice location
543 Malcolm X Blvd
New York, NY 10037-1806
Mailing address
543 Malcolm X Blvd
New York, NY 10037-1806
Phone (212) 283-2136
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 |
|---|---|---|---|
| 040405 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&S Madison Ave Inc | Current | Accepting new patients | |
| Palace Pharmacy Inc | Current | Accepting new patients |
Locations
543 Malcolm X Blvd
New York, NY 10037
Phone (212) 283-2136
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": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1770501348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 MALCOLM X BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100371806",
"telephone_number": "212-283-2136",
"fax_number": "212-283-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 MALCOLM X BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100371806",
"telephone_number": "212-283-2136",
"fax_number": "212-283-2463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABRA",
"first_name": "AHMED",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040405",
"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 21, 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.