Individual provider Active NPI

Nasr H. Anaizi, PHD, RPH

  • Pharmacist
  • Pittsford, NY
National Provider Identifier
1487835948
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042532 Issued in NY
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

LicenseStateTypeSpecialty
042532NYMDDentist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042532 NY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
02519359MedicaidNY

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.

Verify at the official NPI Registry.