Active NPI
Annamaria Janka
- Pharmacist
- Paterson, NJ
National Provider Identifier
1083040976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058720-1
- Practice address
- 661 Main St
Paterson, NJ 07503-3028 - Phone
- (973) 307-9000
- NPI assigned
- Sep 24, 2013
- Sex
- Female
- 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 | 058720-1 | NY | Primary |
Addresses
Primary practice location
661 Main St
Paterson, NJ 07503-3028
Mailing address
4013 Broadway
Astoria, NY 11103-4082
Phone (718) 956-0060
Other practice location 1
4013 Broadway
Astoria, NY 11103-4082
Phone (718) 956-0060
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 |
|---|---|---|---|
| 058720-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icp2 LLC | Current | Accepting new patients | |
| Wellness Center Pharmacy Inc | Past | Accepting new patients |
Locations
661 Main St
Paterson, NJ 07503
Phone (862) 799-6903
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Paterson, NJ
- NPI 1740780980
-
- Community/Retail Pharmacy
- Astoria, NY
- NPI 1972739415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592611200000",
"number": "1083040976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 BROADWAY",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034082",
"telephone_number": "718-956-0060",
"fax_number": "718-956-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075033028",
"telephone_number": "973-307-9000"
}
],
"practiceLocations": [
{
"address_1": "4013 Broadway",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111034082",
"country_code": "US",
"telephone_number": "718-956-0060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANKA",
"first_name": "ANNAMARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2020-06-20",
"certification_date": "2020-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058720-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.