Individual provider Active NPI

Shams Rifah Tasbih

  • Pharmacist
  • Jamaica, NY
National Provider Identifier
1922767540
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
068579 Issued in NY
Practice address
10328 177TH St
Jamaica, NY 11433-1414
Phone
(347) 479-6109
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 068579 NY Primary

Addresses

Primary practice location

10328 177TH St
Jamaica, NY 11433-1414

Mailing address

10328 177TH St
Jamaica, NY 11433-1414
Phone (347) 479-6109

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL shams.r.tasbih@raiteaid.com Direct

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
068579NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1922767540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10328 177TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331414",
            "telephone_number": "347-479-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10328 177TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331414",
            "telephone_number": "347-479-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASBIH",
        "first_name": "SHAMS",
        "middle_name": "RIFAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shams.r.tasbih@raiteaid.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "159 US-6",
            "city": "Manhopac",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.