Active NPI
Anna Polyak, PHARM.D.
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1306169024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053589
- Practice address
- 2425 Haring St
Apt. 5C
Brooklyn, NY 11235-1864 - Phone
- (646) 289-2236
- NPI assigned
- Mar 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053589 | NY | Primary |
| Pharmacist | 183500000X | 28RI03298700 | NJ |
Addresses
Primary practice location
2425 Haring St
Apt. 5C
Brooklyn, NY 11235-1864
Mailing address
2425 Haring St
Apt. 5C
Brooklyn, NY 11235-1864
Phone (646) 289-2236
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03298700 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1306169024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 HARING ST",
"address_2": "APT. 5C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351864",
"telephone_number": "646-289-2236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 HARING ST",
"address_2": "APT. 5C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351864",
"telephone_number": "646-289-2236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLYAK",
"first_name": "ANNA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053589",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03298700",
"primary": false
}
],
"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 Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.