Active NPI
Abdo Al-Dalaim
- Pharmacist
- Bronx, NY
National Provider Identifier
1780130922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 062105
- Practice address
- 1207 White Plains Rd
Bronx, NY 10472-4903 - Phone
- (718) 409-1338
- Fax
- (718) 409-4684
- NPI assigned
- Aug 28, 2016
- Last updated
- Jun 7, 2019
- Sex
- Male
- 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 | 062105 | NY | Primary |
Addresses
Primary practice location
1207 White Plains Rd
Bronx, NY 10472-4903
Mailing address
780 Pelham Pkwy S Apt A11
Bronx, NY 10462-1103
Phone (347) 220-5441
Other practice location 1
1263 Leland AV Apt #3C
Bronx, NY 10472
Phone (347) 220-5441
Other practice location 2
780 Pelham Pkwy S Apt A11
Bronx, NY 10462-1103
Phone (347) 220-5441
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 |
|---|---|---|---|
| 062105 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yj Pharmacy Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1780130922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 PELHAM PKWY S APT A11",
"city": "BRONX",
"state": "NY",
"postal_code": "104621103",
"telephone_number": "347-220-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104724903",
"telephone_number": "718-409-1338",
"fax_number": "718-409-4684"
}
],
"practiceLocations": [
{
"address_1": "1263 Leland AV Apt #3C",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "10472",
"country_code": "US",
"telephone_number": "347-220-5441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 Pelham Pkwy S Apt A11",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104621103",
"country_code": "US",
"telephone_number": "347-220-5441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-DALAIM",
"first_name": "ABDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-28",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.