Active NPI
Sadia Tariq Khan, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1902445638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065188
- Practice address
- 1653 Sheepshead Bay Rd
Brooklyn, NY 11235-3804 - Phone
- (718) 934-3838
- Fax
- (718) 648-9457
- NPI assigned
- Dec 28, 2019
- Last updated
- May 26, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 024430 | NY | |
| Pharmacist | 183500000X | 065188 | NY | Primary |
Addresses
Primary practice location
1653 Sheepshead Bay Rd
Brooklyn, NY 11235-3804
Mailing address
1653 Sheepshead Bay Rd
Brooklyn, NY 11235-3804
Phone (718) 934-3838
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
| License | State | Type | Specialty |
|---|---|---|---|
| 024430 | NY | MD | General Practice Dentistry |
| 065188 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Pharmacy Corp. | Past | Accepting new patients | |
| Queens Pharmacy Corp | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1801057740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1902445638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 SHEEPSHEAD BAY RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353804",
"telephone_number": "718-934-3838",
"fax_number": "718-648-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 SHEEPSHEAD BAY RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353804",
"telephone_number": "718-934-3838",
"fax_number": "718-648-9457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SADIA",
"middle_name": "TARIQ",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-28",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "024430",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065188",
"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 May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.