Provider Demographics
NPI:1790835577
Name:FAROOQ, UMER (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:UMER
Middle Name:
Last Name:FAROOQ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 PELHAM PKWY N
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5438
Mailing Address - Country:US
Mailing Address - Phone:718-710-7314
Mailing Address - Fax:718-794-6194
Practice Address - Street 1:1181 PELHAM PKWY N
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5438
Practice Address - Country:US
Practice Address - Phone:718-710-7314
Practice Address - Fax:718-794-6194
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist