Active NPI
Elizabeth An, RPH
- Pharmacist
- Bronx, NY
National Provider Identifier
1013338169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046014
- Practice address
- 111 E 210TH St
Montefiore Pharmacy
Bronx, NY 10467-2401 - Phone
- (718) 920-4934
- NPI assigned
- Dec 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046014 | NY | Primary |
| Pharmacist | 183500000X | 26RI02060100 | NJ |
Addresses
Primary practice location
111 E 210TH St
Montefiore Pharmacy
Bronx, NY 10467-2401
Mailing address
125 Howard Ave
Tappan, NY 10983-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI02060100 | Other | NJ | PHARMACY LICENSE |
| 046014 | Other | NY | PHARMACY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26RI02060100 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1013338169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 HOWARD AVE",
"city": "TAPPAN",
"state": "NY",
"postal_code": "109831000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"address_2": "MONTEFIORE PHARMACY",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-4934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AN",
"first_name": "ELIZABETH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046014",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "26RI02060100",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "28RI02060100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "046014",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.