Anish Pharmacy

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

License

027110 Issued in NY

Legal business name

ANISH PHARMACY

Practice address

2650 4TH St
Long Island City, NY 11102-4126

Phone

(718) 777-1100

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anil Ravuri, RPH

Title

President

Phone

(718) 777-1100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nagi Reddy Pallapolu

  • Pharmacist
  • Astoria, NY
  • NPI 1699001933
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467517623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 4TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111024126",
            "telephone_number": "718-777-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 4TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111024126",
            "telephone_number": "718-777-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAVURI",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-777-1100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "NY",
            "license": "027110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in New York

• 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.