Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mmudassir Ali Khan, MPHARM

Individual provider Pharmacist · NPI 1164708137

Mmudassir Ali Khan, MPHARM is a Pharmacist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

557 Buchanan Ave
Staten Island, NY 10314-4129
Phone: (718) 982-7724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 031745-1 (NY)

Record details

NPI number1164708137
Entity typeIndividual (Type 1)
GenderMale
Credentials MPHARM
Sole proprietorNo
NPI enumeratedOctober 22, 2011
Last updated in NPPESOctober 22, 2011

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