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MMUDASSIR ALI KHAN M.PHARM
NPI 1164708137
Pharmacist in Staten Island, NY

Active since October 22, 2011
557 BUCHANAN AVE, STATEN ISLAND, NY 10314(718) 982-7724 Get Directions Write a Review

NPPES record last updated: October 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mmudassir Ali Khan M.pharm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMUDASSIR ALI KHAN M.PHARM (NPI 1164708137) is an individual pharmacist in Staten Island, New York, licensed in New York (031745-1) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1164708137
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMMUDASSIR ALI KHANCredential: M.PHARM
Location Address557 BUCHANAN AVEStaten Island, NY 10314-4129
Mailing Address557 Buchanan AveStaten Island, NY 10314-4129 · (718) 982-7724
Phone(718) 982-7724
Sole ProprietorNo
Enumeration DateOctober 22, 2011
✔ NPI 1164708137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 031745-1
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
557 BUCHANAN AVE, Staten Island, NY 10314
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mmudassir Khan's NPI number?

The NPI number for Mmudassir Khan is 1164708137. It was assigned to this individual provider in the NPPES registry on October 22, 2011.

Where is Mmudassir Khan located?

Mmudassir Khan practices at 557 Buchanan Ave, Staten Island, NY 10314. The listed phone number is (718) 982-7724.

What is Mmudassir Khan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mmudassir Khan was last updated on October 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.