Individual provider Active NPI

Syed Wajid Hussain Bukhari, RPH.

  • Pharmacist
  • Ocean City, MD
National Provider Identifier
1851908719
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P27575 Issued in MD
Practice address
12510 Ocean Gtwy
Ocean City, MD 21842-9690
Phone
(410) 213-1228
NPI assigned
Sep 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X P27575 MD Primary

Addresses

Primary practice location

12510 Ocean Gtwy
Ocean City, MD 21842-9690

Mailing address

535 White Pine Dr
Fruitland, MD 21826-1946
Phone (410) 845-3723

Other practice location 1

1611 Philadelphia Ave
Ocean City, MD 21842-3650
Phone (410) 289-6513

Other practice location 2

1016 S Salisbury Blvd
Salisbury, MD 21801-6361
Phone (410) 572-5891

Other identifiers 1

IdentifierTypeStateIssuer
27575OtherMDPHARMACIST

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
P27575MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland CVS Pharmacy, L.L.C. Past Accepting new patients
Maryland CVS Pharmacy LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1851908719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WHITE PINE DR",
            "city": "FRUITLAND",
            "state": "MD",
            "postal_code": "218261946",
            "telephone_number": "410-845-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 OCEAN GTWY",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429690",
            "telephone_number": "410-213-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Ocean City",
            "state": "MD",
            "postal_code": "218423650",
            "country_code": "US",
            "telephone_number": "410-289-6513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1016 S Salisbury Blvd",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218016361",
            "country_code": "US",
            "telephone_number": "410-572-5891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUKHARI",
        "first_name": "SYED",
        "middle_name": "WAJID HUSSAIN",
        "name_prefix": "Dr.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "P27575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "27575",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.