Individual provider Active NPI

Mariam Azimi, PHARMD

  • Pharmacist
  • Rego Park, NY
National Provider Identifier
1982246914
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I066215-01 Issued in NY
Practice address
9229 Queens Blvd Ste Cu13
Rego Park, NY 11374-1045
Phone
(917) 832-6753
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I066215-01 NY Primary

Addresses

Primary practice location

9229 Queens Blvd Ste Cu13
Rego Park, NY 11374-1045

Mailing address

9229 Queens Blvd Ste Cu13
Rego Park, NY 11374-1045
Phone (917) 832-6753

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
I066215-01NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jericho Tpke RX Inc CurrentSince Feb 9, 2025 Accepting new patients
Walgreen Co PastSince Oct 1, 2019 Accepting new patients
Walgreen Co. PastSince Mar 6, 2022 Accepting new patients

Locations

9229 Queens Blvd
Ste CU13
Rego Park, NY 11374
Phone (917) 832-6753

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1982246914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD STE CU13",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741045",
            "telephone_number": "917-832-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD STE CU13",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741045",
            "telephone_number": "917-832-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIMI",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I066215-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.