BASIRAT SHOBERU


Address: 3415 Bainbridge Ave, Bronx, NY 10467-2403
Phone: 7185282254

BASIRAT SHOBERU (NPI# 1023589918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023589918
Entity Type Individual
Full Name BASIRAT SHOBERU
Credential PHARMD, BCPPS
Practice Address 3415 Bainbridge Ave
Bronx
NY 10467-2403
Mailing Address 18320 144th Ave
Springfield Gardens
NY 11413-3206
Practice Telephone 7185282254
Enumeration Date 2018-12-17
Last Update Date 2019-01-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0200X Pharmacist
Specialization: Pediatrics
054508 NY Pharmacy Service Providers

Office Location

Street Address 3415 BAINBRIDGE AVE
City BRONX
State NY
Zip Code 10467-2403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992783500 Hiren V. Muzumdar Pediatrics 3415 Bainbridge Ave, Pediatric Respiratory and Sleep Medicine, Bronx, NY 10467-2403 2006-01-04
1568076743 Aleksandr Zavorotynskiy Pharmacist 3415 Bainbridge Ave, Bronx, NY 10467-2403 2020-09-03
1295347581 Porsha Paul Social Worker 3415 Bainbridge Ave, Bronx, NY 10467-2403 2020-08-19
1659995074 Birender P Singh Pharmacist 3415 Bainbridge Ave, Bronx, NY 10467-2403 2020-06-01
1144841834 Andrecia Spaulding Social Worker 3415 Bainbridge Ave, Bronx, NY 10467-2403 2020-05-04
1700415312 Pauline Elizabeth Clarke Nurse Practitioner 3415 Bainbridge Ave, Bronx, NY 10467-2403 2020-04-06
1104485739 Yuping Xie Student in an Organized Health Care Education/Training Program 3415 Bainbridge Ave, Bronx, NY 10467-2403 2019-06-07
1942868898 Tara Carolina Foisset Pediatrics 3415 Bainbridge Ave, Bronx, NY 10467-2403 2019-06-04
1164985164 Joseph Chapman Student in an Organized Health Care Education/Training Program 3415 Bainbridge Ave, Bronx, NY 10467-2403 2019-04-08
1447736830 Ashley Nicole Hiep Physician Assistant 3415 Bainbridge Ave, Bronx, NY 10467-2403 2018-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535505 Maxwell Ennist Massage Therapist 210 Bedford Park Blvd, Bronx, NY 10467 2020-10-09
1144854431 Ny Metro Dental, PC Dentist 55 Mosholu Parkway North, Bronx, NY 10467 2020-02-26
1386277960 Rhonda Ellen Nayberg Occupational Therapist Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 2020-02-21
1013568153 Jaime Luis Betancourt Nurse Practitioner Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 2019-09-20
1023662616 Bronx Jewish Community Council Home Attendant Services Home Health 2930 Wallace Ave., Bronx, NY 10467 2019-07-31
1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
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Taxonomy Information

Taxonomy Code 1835P0200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pediatrics

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659995074 Birender P Singh Pharmacist 3415 Bainbridge Ave, Bronx, NY 10467-2403 2020-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750903506 Elena Mendez-rico Pharmacist 525 E 68th St Rm K-04, New York, NY 10065-4870 2020-05-15
1932729407 Kelly Yan Pharmacist 26901 76th Ave, New Hyde Park, NY 11040-1433 2020-04-24
1629604160 Ammara Tanweer Pharmacist 26901 76th Ave, New Hyde Park, NY 11040-1433 2020-03-17
1992280556 Victoria Ann Chirico Pharmacist 26901 76th Ave, New Hyde Park, NY 11040-1433 2018-09-30
1093290652 Dimitrios Andreas Savva Pharmacist 3959 Broadway, New York, NY 10032-1559 2018-09-30
1275027054 Kate Elizabeth Reichert Pharmacist 1275 York Avenue, Schwartz-722, New York, NY 10128 2018-06-15
1225561632 Jessica Ehnot Pharmacist 750 E Adams St, Syracuse, NY 13210-2306 2017-04-04
1144770421 Stacie Lampkin Pharmacist 320 Porter Ave, Buffalo, NY 14201-1032 2016-10-10

Competitor

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City BRONX
Zip Code 10467

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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