Provider Demographics
NPI:1730411877
Name:AHMAD, EMRAN (MS, RPH)
Entity type:Individual
Prefix:MR
First Name:EMRAN
Middle Name:
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MS, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2314
Mailing Address - Country:US
Mailing Address - Phone:718-625-0141
Mailing Address - Fax:718-222-0319
Practice Address - Street 1:96 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2314
Practice Address - Country:US
Practice Address - Phone:718-625-0141
Practice Address - Fax:718-222-0319
Is Sole Proprietor?:No
Enumeration Date:2010-01-30
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY031441OtherPHARMACISTS LICENSE