Provider Demographics
NPI:1356705602
Name:NASSER, AHMED Y (RPH (AN))
Entity type:Individual
Prefix:MR
First Name:AHMED
Middle Name:Y
Last Name:NASSER
Suffix:
Gender:M
Credentials:RPH (AN)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 09 A 31ST STREET
Mailing Address - Street 2:PHARMACARE PLUS PHARMACY
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105
Mailing Address - Country:US
Mailing Address - Phone:347-848-0455
Mailing Address - Fax:347-848-0465
Practice Address - Street 1:21 09 A 31ST STREET
Practice Address - Street 2:PHARMACARE PLUS PHARMACY
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105
Practice Address - Country:US
Practice Address - Phone:347-848-0455
Practice Address - Fax:347-848-0465
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061518183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist