Active NPI
Anish Joseph, PHARMACIST
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1043534068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052220
- Practice address
- 1 Brookdale PLZ
Brooklyn, NY 11212-3139 - Phone
- (719) 240-8080
- NPI assigned
- Mar 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 052220 | NY | Primary |
Addresses
Primary practice location
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Mailing address
3663 Broadway
New York, NY 10031-1502
Phone (212) 491-2910
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052220 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhole Pharmacy Inc | Current | Accepting new patients |
Locations
3663 Broadway
New York, NY 10031
Phone (212) 491-2910
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1043534068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100311502",
"telephone_number": "212-491-2910",
"fax_number": "516-483-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123139",
"telephone_number": "719-240-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "ANISH",
"name_prefix": "Dr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-19",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.