Organization Active NPI

Beena 1 Inc

  • Pharmacy
  • Middletown, NY
National Provider Identifier
1447249362
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
027213 Issued in NY
Legal business name
BEENA 1 INC
Practice address
67 James P.Kelly Way
Middletown, NY 10940-6948
Phone
(845) 341-2750
Fax
(845) 343-1309
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Mr. Anil Kanabar, RPHNPI 1215222328
Title
Pharmacist Owner
Phone
(845) 341-2750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 027213 NY Primary

Addresses

Primary practice location

67 James P.Kelly Way
Middletown, NY 10940-6948

Mailing address

67 James P Kelly Way
Middletown, NY 10940-6948
Phone (845) 341-2750

Other identifiers 2

IdentifierTypeStateIssuer
02658006MedicaidNY
3332296OtherNABP

Other names 1

  • Accucare Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004859 NY DME Supplier - Pharmacy 1759592603 Practice locations: Middletown, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Accucare Pharmacy67 James P Kelly Way, Middletown, NY 10940-6948(845) 341-2750 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Se… Does not accept assignmentParticipating since May 5, 2005

National Provider Directory

National Provider Directory

Locations

67 James P Kelly Way
Middletown, NY 10940
Phone (845) 341-2750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1447249362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 JAMES P KELLY WAY",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406948",
            "telephone_number": "845-341-2750",
            "fax_number": "845-343-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 JAMES P.KELLY WAY",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406948",
            "telephone_number": "845-341-2750",
            "fax_number": "845-343-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEENA 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "KANABAR",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "845-341-2750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02658006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3332296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accucare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.