Active NPI
Kenya Alyssa Anderson, PHARMD
- Pharmacist
- New York, NY
National Provider Identifier
1427665256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067020
- Practice address
- 205 8TH Ave
New York, NY 10011-1617 - Phone
- (212) 691-9050
- NPI assigned
- Sep 25, 2020
- Last updated
- Sep 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 067020 | NY | Primary |
Addresses
Primary practice location
205 8TH Ave
New York, NY 10011-1617
Mailing address
205 8TH Ave
New York, NY 10011-1617
Phone (212) 691-9050
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 |
|---|---|---|---|
| 067020 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
205 8th Ave
New York, NY 10011
Phone (212) 691-9050
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1427665256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 8TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100111617",
"telephone_number": "212-691-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 8TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100111617",
"telephone_number": "212-691-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KENYA",
"middle_name": "ALYSSA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.