Active NPI
Anchor Health Group Corp
Doing business as Genesis Wellness Pharmacy
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1023501061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ANCHOR HEALTH GROUP CORP
- Doing business as
- Genesis Wellness Pharmacy
- Practice address
- 1926 Crotona Pkwy
Bronx, NY 10460-1845 - Phone
- (347) 879-7005
- Fax
- (347) 879-7006
- NPI assigned
- Jun 13, 2018
- Last updated
- Jan 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avery Ann Jones
- Title
- President
- Phone
- (347) 879-7005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1926 Crotona Pkwy
Bronx, NY 10460-1845
Mailing address
1926 Crotona Pkwy
Bronx, NY 10460-1845
Phone (347) 879-7005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036496 | Other | NY | NYS STATE BOARD OF PHARMACY |
Other names 1
- GENESIS WELLNESS PHARMACY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Counselor
- New York, NY
- NPI 1134339831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547078400000",
"number": "1023501061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 CROTONA PKWY",
"city": "BRONX",
"state": "NY",
"postal_code": "104601845",
"telephone_number": "347-879-7005",
"fax_number": "347-879-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1926 CROTONA PKWY",
"city": "BRONX",
"state": "NY",
"postal_code": "104601845",
"telephone_number": "347-879-7005",
"fax_number": "347-879-7006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHOR HEALTH GROUP CORP",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-13",
"last_updated": "2019-01-10",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "AVERY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-879-7005"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS STATE BOARD OF PHARMACY",
"identifier": "036496",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GENESIS WELLNESS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.