Individual provider Active NPI

Randolph Mohabir, RPH

  • Pharmacist
  • East Meadow, NY
National Provider Identifier
1942487566
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049566 Issued in NY
Practice address
353 Newbridge Rd
East Meadow, NY 11554-4120
Phone
(516) 785-0120
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049566 NY Primary

Addresses

Primary practice location

353 Newbridge Rd
East Meadow, NY 11554-4120

Mailing address

353 Newbridge Rd
East Meadow, NY 11554-4120
Phone (516) 785-0120

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

LicenseStateTypeSpecialty
049566NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Chemists Inc Current Accepting new patients
Island Chemists Inc Current Accepting new patients
Floyd Chemists Inc Current 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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1942487566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEWBRIDGE RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544120",
            "telephone_number": "516-785-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEWBRIDGE RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544120",
            "telephone_number": "516-785-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHABIR",
        "first_name": "RANDOLPH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.