Individual provider Active NPI

Muhammad Khalique Qureshi

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1871774356
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041123 Issued in NY
Practice address
3307 Church Ave
Brooklyn, NY 11203-2339
Phone
(718) 856-8048
Fax
(718) 469-0424
NPI assigned
Nov 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041123 NY Primary

Addresses

Primary practice location

3307 Church Ave
Brooklyn, NY 11203-2339

Mailing address

3307 Church Ave
Brooklyn, NY 11203-2711
Phone (718) 856-8048

Other identifiers 1

IdentifierTypeStateIssuer
041123OtherNYREGISTERD PHARMACIST

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

LicenseStateTypeSpecialty
041123NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan Pharmacy Inc Current Accepting new patients
New York Ave Pharmacy Inc Past Accepting new patients
Kings Pharmacy Inc Past Accepting new patients

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1871774356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032711",
            "telephone_number": "718-856-8048",
            "fax_number": "718-469-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032339",
            "telephone_number": "718-856-8048",
            "fax_number": "718-469-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MUHAMMAD",
        "middle_name": "KHALIQUE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERD PHARMACIST",
            "identifier": "041123",
            "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 Jan 12, 2017; 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.