Active NPI
Samir A Desai, RPH
- Pharmacist
- Buffalo, NY
National Provider Identifier
1801021589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052900
- Practice address
- 462 Grider St
Buffalo, NY 14215-3021 - Phone
- (716) 332-2866
- NPI assigned
- May 24, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03071100 | NJ | |
| Pharmacist | 183500000X | 052900 | NY | Primary |
Addresses
Primary practice location
462 Grider St
Buffalo, NY 14215-3021
Mailing address
920 Northwood Dr
Williamsville, NY 14221-3855
Phone (973) 807-8823
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 |
|---|---|---|---|
| 03071100 | NJ | MD | Pharmacist |
| 052900 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1801021589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 NORTHWOOD DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213855",
"telephone_number": "973-807-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-332-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "SAMIR",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-24",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "03071100",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.