Active NPI
Amal Imil Aziz, PHARMACIST
- Pharmacist
- Staten Island, NY
National Provider Identifier
1841514072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047676
- Practice address
- 985 Richmond Ave
Staten Island, NY 10314-1501 - Phone
- (718) 982-8615
- Fax
- (718) 982-8633
- NPI assigned
- Mar 17, 2010
- Last updated
- Mar 17, 2010
- 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 | 047676 | NY | Primary |
Addresses
Primary practice location
985 Richmond Ave
Staten Island, NY 10314-1501
Mailing address
13 Scenic Dr
Dayton, NJ 08810-1492
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 |
|---|---|---|---|
| 047676 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mannix Family Market @ Forest and Richmond Ave LLC | Past | Accepting new patients | |
| Shoprite Pharmacy 108 | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shoprite Pharmacy of Forest and Richmond
- Community/Retail Pharmacy
- Staten Island, NY
- NPI 1003006982
-
dba Shoprite Pharmacy
- Community/Retail Pharmacy
- Staten Island, NY
- NPI 1407961287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268784000000",
"number": "1841514072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 SCENIC DR",
"city": "DAYTON",
"state": "NJ",
"postal_code": "088101492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141501",
"telephone_number": "718-982-8615",
"fax_number": "718-982-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIZ",
"first_name": "AMAL",
"middle_name": "IMIL",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2010-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047676",
"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 Mar 17, 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.