Individual provider Active NPI

Hasibullah Mir, PHARMD

  • Pharmacist
  • Queens Village, NY
National Provider Identifier
1922641638
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
065794 Issued in NY
Practice address
22008 Hempstead Ave
Queens Village, NY 11429-2119
Phone
(718) 776-2300
Fax
(718) 776-2800
NPI assigned
Oct 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 065794 NY Primary

Addresses

Primary practice location

22008 Hempstead Ave
Queens Village, NY 11429-2119

Mailing address

360 Clay Hill Rd
Fort Ann, NY 12827-5236
Phone (347) 613-3677

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
065794NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County Pharmacy Corporation Current Accepting new patients
Good RX LLC Current Accepting new patients

Locations

22008 Hempstead Ave
Queens Village, NY 11429
Phone (718) 776-1171

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": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1922641638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CLAY HILL RD",
            "city": "FORT ANN",
            "state": "NY",
            "postal_code": "128275236",
            "telephone_number": "347-613-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22008 HEMPSTEAD AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292119",
            "telephone_number": "718-776-2300",
            "fax_number": "718-776-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIR",
        "first_name": "HASIBULLAH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-25",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.