NPIMap

Organization Active NPI

Azar a Korbey MD

  • Non-Pharmacy Dispensing Site
  • Salem, NH
National Provider Identifier
1366525693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
7069 Issued in NH
Legal business name
AZAR A KORBEY MD
Doing business as
Azar a Korbey MD
Practice address
22 Main St
Salem, NH 03079-5900
Phone
(603) 893-7905
Fax
(603) 898-6106
NPI assigned
Oct 23, 2006
Reactivated
Mar 30, 2010
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Direndia Shackelford
Title
Managed Care Specialist
Phone
(800) 654-0889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 7069 NH Primary

Addresses

Primary practice location

22 Main St
Salem, NH 03079-5900

Mailing address

22 Main St
Salem, NH 03079-5900

Other identifiers 1

IdentifierTypeStateIssuer
3006067OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • AZAR A KORBEY MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Azar a Korbey MD PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366525693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795900",
            "telephone_number": "603-893-7905",
            "fax_number": "603-898-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAR A KORBEY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "deactivation_date": "2010-02-10",
        "reactivation_date": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "DIRENDIA",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "800-654-0889"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NH",
            "license": "7069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3006067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZAR A KORBEY MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.