IndividualActive
Koosha Bamdad
NPI 1215689567 · Community/Retail Pharmacy · Great Neck, NY
Koosha Bamdad is a Community/Retail Pharmacy provider in Great Neck, NY (NPI 1215689567).
Provider details
- NPI number
- 1215689567
- Entity type
- Individual
- Primary specialty
- Community/Retail PharmacySuppliers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
621 Middle Neck Rd
Great Neck, NY 11023-1245
Phone: (516) 730-8990
Street-level locationGet directions
Mailing address
621 Middle Neck Rd
Great Neck, NY 11023-1245
Registry dates
- Enumerated
- 2022-01-18
- Last updated
- 2022-08-08
- Certified
- 2022-08-08
Frequently asked questions
- What is Koosha Bamdad's NPI number?
- Koosha Bamdad's National Provider Identifier (NPI) is 1215689567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Koosha Bamdad's specialty?
- Koosha Bamdad is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy (Suppliers).
- Where is Koosha Bamdad located?
- Koosha Bamdad's practice location on file with NPPES is 621 Middle Neck Rd, Great Neck, NY 11023-1245.
- What is Koosha Bamdad's phone number?
- The practice phone number listed in the NPPES registry for Koosha Bamdad is (516) 730-8990.
- Is Koosha Bamdad's NPI active?
- Yes — Koosha Bamdad's NPI (1215689567) is active in the NPPES registry as of the last update on 2022-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.