Provider Demographics
NPI:1457877318
Name:AFSHAN AHMAD, MEHAR (RPH)
Entity Type:Individual
Prefix:
First Name:MEHAR
Middle Name:
Last Name:AFSHAN AHMAD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11112 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-1158
Mailing Address - Country:US
Mailing Address - Phone:347-405-1803
Mailing Address - Fax:
Practice Address - Street 1:11112 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-1158
Practice Address - Country:US
Practice Address - Phone:347-405-1803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03868500183500000X
NY066243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist