Individual provider Active NPI

Malaak Afaneh, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1295246239
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063414-1 Issued in NY
Practice address
5603 2ND Ave
Brooklyn, NY 11220-4189
Phone
(347) 599-1165
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063414-1 NY Primary

Addresses

Primary practice location

5603 2ND Ave
Brooklyn, NY 11220-4189

Mailing address

75 Hylan Blvd FL 2
Staten Island, NY 10305-2081
Phone (347) 596-2246

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
063414-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthline RX Pharmacy Inc. CurrentSince Oct 24, 2021 Accepting new patients
Health Mart Pharmacy Inc CurrentSince Jul 20, 2021 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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1295246239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HYLAN BLVD FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052081",
            "telephone_number": "347-596-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 2ND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204189",
            "telephone_number": "347-599-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFANEH",
        "first_name": "MALAAK",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063414-1",
            "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 Jul 13, 2021; 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.