Active NPI
Maryana Tawfik, PHARMACIST
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1982074902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060334-I
- Practice address
- 84 Clark St
Brooklyn, NY 11201-2721 - Phone
- (347) 987-4315
- Fax
- (347) 987-4316
- NPI assigned
- Oct 2, 2015
- Last updated
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 060334-I | NY | Primary |
| Pharmacist | 183500000X | 28RI03534600 | NJ |
Addresses
Primary practice location
84 Clark St
Brooklyn, NY 11201-2721
Mailing address
187 Braisted Ave
Staten Island, NY 10314-6134
Phone (718) 477-0268
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03534600 | NJ | MD | Pharmacist |
| 060334-I | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Land Pharmacy Inc | 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": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1982074902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 BRAISTED AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146134",
"telephone_number": "718-477-0268",
"fax_number": "718-477-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 CLARK ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012721",
"telephone_number": "347-987-4315",
"fax_number": "347-987-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAWFIK",
"first_name": "MARYANA",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060334-I",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03534600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.