Organization Active NPI

Anchor Health Group Corp

Doing business as Genesis Wellness Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1023501061
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Avery Ann JonesNPI 1134339831
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036496OtherNYNYS STATE BOARD OF PHARMACY

Other names 1

  • GENESIS WELLNESS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.