Anaya I Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034914 Issued in NY

Legal business name

ANAYA I INC

Doing business as

Cannon Pharmacy

Practice address

23 S Main St
Freeport, NY 11520-3603

Phone

(516) 623-2222

Fax

(516) 378-0041

NPI assigned

Jun 20, 2016

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ankit Desai

Title

Manager

Phone

(347) 470-6061

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Cannon Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Joshua Lozano, PHARMD

  • Pharmacist
  • Freeport, NY
  • NPI 1417629254
  NPD (past)
• Bhagvanji Patel

  • Pharmacist
  • Freeport, NY
  • NPI 1497784870
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1114377256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S MAIN ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203603",
            "telephone_number": "516-623-2222",
            "fax_number": "516-378-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S MAIN ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203603",
            "telephone_number": "516-623-2222",
            "fax_number": "516-378-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAYA I INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-01-25",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ANKIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-470-6061"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034914",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04590112",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160888",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cannon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Freeport, NY
• Providers in Freeport, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.