Individual provider Active NPI

Javid Bamshad, BS

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1851615850
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
037730 Issued in NY
Practice address
3002 Avenue M
Brooklyn, NY 11210-4745
Phone
(718) 677-5811
Fax
(718) 677-5812
NPI assigned
Mar 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 037730 NY Primary

Addresses

Primary practice location

3002 Avenue M
Brooklyn, NY 11210-4745

Mailing address

3002 Avenue M
Brooklyn, NY 11210-4745
Phone (718) 677-5811

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
037730NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Emuna Inc CurrentSince Feb 16, 2020 Accepting new patients
Emuna Inc Pharmacist Current Accepting new patients
Shadnam Inc Current Accepting new patients

Locations

3002 Avenue M
Brooklyn, NY 11210
Phone (718) 677-5811

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.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1851615850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104745",
            "telephone_number": "718-677-5811",
            "fax_number": "718-677-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104745",
            "telephone_number": "718-677-5811",
            "fax_number": "718-677-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMSHAD",
        "first_name": "JAVID",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.