Active NPI
Anthony Mark Ishak, PHARM.D.
- Ambulatory Care Pharmacist
- Somerville, MA
National Provider Identifier
1376541003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PH26862
- Practice address
- 440 Foley St
Somerville, MA 02145-1213 - Phone
- (857) 282-0777
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | PH26862 | MA | Primary |
Addresses
Primary practice location
440 Foley St
Somerville, MA 02145-1213
Mailing address
131 Freeman St
Brookline, MA 02446-3590
Phone (408) 813-6181
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 |
|---|---|---|---|
| PH26862 | MA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Eye and Ear Associates, Inc. | Past | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | 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.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1932574332
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689379200000",
"number": "1376541003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 FREEMAN ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463590",
"telephone_number": "408-813-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 FOLEY ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021451213",
"telephone_number": "857-282-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHAK",
"first_name": "ANTHONY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2023-07-15",
"certification_date": "2023-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MA",
"license": "PH26862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.