Active NPI
Shahram Haghnazari, RPH
- Pharmacist
- New York, NY
National Provider Identifier
1780779983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020825
- Practice address
- 369 First Ave
New York, NY 10010 - Phone
- (212) 777-6864
- Fax
- (212) 420-0657
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 8, 2007
- 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 | 020825 | NY | Primary |
Addresses
Primary practice location
369 First Ave
New York, NY 10010
Mailing address
369 First Ave
New York, NY 10010
Phone (212) 777-6864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01219551 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hagh Prescription Headquarters Inc | Pharmacist | Current | Accepting new patients |
Locations
369 1st Ave
New York, NY 10010
Phone (212) 777-6864
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.
-
- Pharmacist
- New York, NY
- NPI 1265646830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780779983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 FIRST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-777-6864",
"fax_number": "212-420-0657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 FIRST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-777-6864",
"fax_number": "212-420-0657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGHNAZARI",
"first_name": "SHAHRAM",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "020825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01219551",
"state": "NY"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.