Healthcare Provider Details

I. General information

NPI: 1952225765
Provider Name (Legal Business Name): AMNA AKRAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 ROGERS LN
SMITHTOWN NY
11787-2413
US

IV. Provider business mailing address

21 ROGERS LN
SMITHTOWN NY
11787-2413
US

V. Phone/Fax

Practice location:
  • Phone: 929-284-8502
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number074035-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: