Active NPI
Omar Mohamed Abouelnas
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1871004135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063862
- Practice address
- 241 Bay Ridge Pkwy
Brooklyn, NY 11209-2403 - Phone
- (347) 972-3020
- NPI assigned
- Oct 13, 2017
- Last updated
- Feb 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03900100 | NJ | |
| Pharmacist | 183500000X | 063862 | NY | Primary |
Addresses
Primary practice location
241 Bay Ridge Pkwy
Brooklyn, NY 11209-2403
Mailing address
241 Bay Ridge Pkwy
Brooklyn, NY 11209-2403
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 |
|---|---|---|---|
| 28RI03900100 | NJ | MD | Pharmacist |
| 063862 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pyramids Health LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1871004135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 BAY RIDGE PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112092403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 BAY RIDGE PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112092403",
"telephone_number": "347-972-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOUELNAS",
"first_name": "OMAR",
"middle_name": "MOHAMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-13",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03900100",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063862",
"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 Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.