Active NPI
Nasir Y. Gore, B. PHARM
- Pharmacist
- Bronx, NY
National Provider Identifier
1942524277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 034360
- Practice address
- 1663 Metropolitan Ave
Bronx
Bronx, NY 10462-6202 - Phone
- (718) 931-6699
- Fax
- (718) 931-6699
- NPI assigned
- Mar 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 034360 | NY | Primary |
Addresses
Primary practice location
1663 Metropolitan Ave
Bronx
Bronx, NY 10462-6202
Mailing address
553 Stewart Ave
Staten Island
Staten Island, NY 10314-6810
Phone (718) 983-1272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034360 | Other | NY | NEW YORK STATE BOARD OF PHARMACY |
Other names 1
- Nasir Yousuf Gore
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
| License | State | Type | Specialty |
|---|---|---|---|
| 034360 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Anz Corp | Past | Accepting new patients | |
| Parkchester Natural Health Center Inc. | Past | Accepting new patients |
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": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1942524277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "553 STEWART AVE",
"address_2": "STATEN ISLAND",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146810",
"telephone_number": "718-983-1272",
"fax_number": "718-931-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1663 METROPOLITAN AVE",
"address_2": "BRONX",
"city": "BRONX",
"state": "NY",
"postal_code": "104626202",
"telephone_number": "718-931-6699",
"fax_number": "718-931-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORE",
"first_name": "NASIR",
"middle_name": "Y.",
"credential": "B. PHARM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-15",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "034360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE BOARD OF PHARMACY",
"identifier": "034360",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NASIR",
"last_name": "GORE",
"middle_name": "YOUSUF",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.