Active NPI
Mohammad S Khalid, PHARMACIST
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1861716672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037774
- Practice address
- 1101 Flatbush Ave
Brooklyn, NY 11226-6141 - Phone
- (718) 703-2440
- Fax
- (718) 703-2445
- NPI assigned
- Mar 23, 2010
- 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 | 037774 | NY | Primary |
Addresses
Primary practice location
1101 Flatbush Ave
Brooklyn, NY 11226-6141
Mailing address
27 Kamda Blvd
New Hyde Park, NY 11040-3135
Phone (516) 301-8301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02664639 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1861716672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 KAMDA BLVD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110403135",
"telephone_number": "516-301-8301",
"fax_number": "718-703-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266141",
"telephone_number": "718-703-2440",
"fax_number": "718-703-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALID",
"first_name": "MOHAMMAD",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02664639",
"state": "NY"
}
],
"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 23, 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.