Individual provider Active NPI

Mostafizur Rahaman

  • Pharmacist
  • Alamogordo, NM
National Provider Identifier
1831845627
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00010146 Issued in NM
Practice address
1776 1St St Apt 3B
Alamogordo, NM 88310-5271
Phone
(607) 205-7089
NPI assigned
Mar 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 068889 NY
Pharmacist 183500000X 1-123042 KS
Pharmacist 183500000X RP00010146 NM Primary

Addresses

Primary practice location

1776 1St St Apt 3B
Alamogordo, NM 88310-5271

Mailing address

1776 1St St Apt 3B
Alamogordo, NM 88310-5271
Phone (607) 205-7089

Other practice location 1

335 Main St
Johnson City, NY 13790-2050
Phone (607) 777-9801

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
1-123042KSMDPharmacist
RP00010146NMMDPharmacist
068889NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co. CurrentSince Mar 6, 2022 Accepting new patients
Walgreen Co PastSince Mar 1, 2022 Accepting new patients

Locations

335 Main St
Johnson City, NY 13790
Phone (607) 777-9801

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1831845627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 1ST ST APT 3B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105271",
            "telephone_number": "607-205-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 1ST ST APT 3B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105271",
            "telephone_number": "607-205-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Main St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137902050",
            "country_code": "US",
            "telephone_number": "607-777-9801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHAMAN",
        "first_name": "MOSTAFIZUR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068889",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-123042",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00010146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.