Individual provider Active NPI

Doaa Sowelam

  • Pharmacist
  • Jackson Heights, NY
National Provider Identifier
1831539907
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
056908 Issued in NY
Practice address
3560 74TH St
Jackson Heights, NY 11372-4316
Phone
(646) 377-7588
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056908 NY Primary

Addresses

Primary practice location

3560 74TH St
Jackson Heights, NY 11372-4316

Mailing address

35 60 74TH Strret
Jackson Hights
Ny, NY 11372
Phone (646) 377-7588

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

LicenseStateTypeSpecialty
056908NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1831539907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 60 74TH STRRET",
            "address_2": "JACKSON HIGHTS",
            "city": "NY",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "646-377-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 74TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724316",
            "telephone_number": "646-377-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWELAM",
        "first_name": "DOAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.