Active NPI
Fedaa Fahmy Suboh
- Pharmacist
- Kenmore, NY
National Provider Identifier
1831977560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 070242-01
- Practice address
- 2739 Delaware Ave
Kenmore, NY 14217-2701 - Phone
- (716) 871-1490
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- 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 | 070242-01 | NY | Primary |
Addresses
Primary practice location
2739 Delaware Ave
Kenmore, NY 14217-2701
Mailing address
877 Robin Rd
Amherst, NY 14228-1036
Phone (716) 482-5664
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 |
|---|---|---|---|
| 070242-01 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pharmacy
- Kenmore, NY
- NPI 1861601627
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- NPI 1982703120
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1831977560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 ROBIN RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142281036",
"telephone_number": "716-482-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2739 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172701",
"telephone_number": "716-871-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBOH",
"first_name": "FEDAA",
"middle_name": "FAHMY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "070242-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.