Individual provider Active NPI

Nazanin Ganjian

  • Pharmacist
  • Freeport, NY
National Provider Identifier
1255533147
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049252 Issued in NY
Practice address
179 Atlantic Ave
Freeport, NY 11520-4922
Phone
(516) 377-4050
NPI assigned
Jun 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049252 NY Primary

Addresses

Primary practice location

179 Atlantic Ave
Freeport, NY 11520-4922

Mailing address

125 Harbor LN
Roslyn, NY 11576-1151
Phone (516) 671-8206

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

LicenseStateTypeSpecialty
049252NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
JT Medical Services, Inc. Past Accepting new patients
179Atlantic Inc Pharmacist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1255533147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HARBOR LN",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761151",
            "telephone_number": "516-671-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 ATLANTIC AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204922",
            "telephone_number": "516-377-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJIAN",
        "first_name": "NAZANIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.