Active NPI
Nasr H. Anaizi, PHD, RPH
- Pharmacist
- Pittsford, NY
National Provider Identifier
1487835948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042532
- Practice address
- 19 Crestview Dr
Pittsford, NY 14534-2237 - Phone
- (585) 264-0799
- NPI assigned
- Nov 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042532 | NY | MD | Dentist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042532 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
19 Crestview Dr
Pittsford, NY 14534-2237
Mailing address
19 Crestview Dr
Pittsford, NY 14534-2237
Phone (585) 264-0799
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02519359 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2007.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1487835948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CRESTVIEW DR",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145342237",
"telephone_number": "585-264-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 CRESTVIEW DR",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145342237",
"telephone_number": "585-264-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAIZI",
"first_name": "NASR",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "PHD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02519359",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.