Individual provider Active NPI

Aleksander Babakhanov, PHARM D

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1952683971
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20056058 Issued in NY
Practice address
373 E Fordham Rd
Bronx, NY 10458-5033
Phone
(718) 220-2111
Fax
(718) 220-2112
NPI assigned
Sep 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 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 20056058 NY Primary

Addresses

Primary practice location

373 E Fordham Rd
Bronx, NY 10458-5033

Mailing address

10521 63Rd Rd
Forest Hills, NY 11375-1348
Phone (347) 247-9255

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
20056058NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Aid Pharmacy Corp. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1952683971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751348",
            "telephone_number": "347-247-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585033",
            "telephone_number": "718-220-2111",
            "fax_number": "718-220-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAKHANOV",
        "first_name": "ALEKSANDER",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "20056058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 15, 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.