Active NPI
Osamah T Moghales
- Pharmacist
- Staten Island, NY
National Provider Identifier
1831967280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RHI04348200
- Practice address
- 167 Carroll PL Apt 1
Staten Island, NY 10301-1539 - Phone
- (917) 200-5225
- NPI assigned
- Dec 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 28RHI04348200 | NJ | Primary |
Addresses
Primary practice location
167 Carroll PL Apt 1
Staten Island, NY 10301-1539
Mailing address
167 Carroll PL Apt 1
Staten Island, NY 10301-1539
Phone (917) 200-5225
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 |
|---|---|---|---|
| 28RHI04348200 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1831967280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 CARROLL PL APT 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103011539",
"telephone_number": "917-200-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 CARROLL PL APT 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103011539",
"telephone_number": "917-200-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGHALES",
"first_name": "OSAMAH",
"middle_name": "T",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RHI04348200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.