MEDICARE: DR. LOTIFUN NESSA KHANDAKER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	069527	NY

General Provider Information

NPI Number	:	1497464135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOTIFUN NESSA KHANDAKER PHARMD

Provider Business Mailing Address
First Line	:	9109 ROOSEVELT AVE FL 1
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7995
Country	:	US
Telephone Number	:	929-235-8886
Fax Number	:

Provider Business Practice Location Address
First Line	:	9109 ROOSEVELT AVE FL 1
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7995
Country	:	US
Telephone Number	:	929-235-8886
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2022
Last Update Date	:	11/20/2025

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