Active NPI
Samad Tirmizi
- Pharmacist
- Farmingville, NY
National Provider Identifier
1770981276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 059747
- Practice address
- 6 Fleetwood Dr
Farmingville, NY 11738-2812 - Phone
- (631) 772-9414
- NPI assigned
- Dec 15, 2014
- Last updated
- Jun 23, 2015
- 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 | 059747 | NY | Primary |
Addresses
Primary practice location
6 Fleetwood Dr
Farmingville, NY 11738-2812
Mailing address
6 Fleetwood Dr
Farmingville, NY 11738-2812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059747 | Other | NY | NYS LICENSE |
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 |
|---|---|---|---|
| 059747 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1770981276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 FLEETWOOD DR",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117382812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 FLEETWOOD DR",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117382812",
"telephone_number": "631-772-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRMIZI",
"first_name": "SAMAD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-15",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "059747",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmingville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.