Individual provider Active NPI

Ammy Man

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1568059186
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066915 Issued in NY
Practice address
6903 18TH Ave
Brooklyn, NY 11204-5076
Phone
(718) 759-6308
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066915 NY Primary

Addresses

Primary practice location

6903 18TH Ave
Brooklyn, NY 11204-5076

Mailing address

725 70TH St Apt D5
Brooklyn, NY 11228-1049
Phone (917) 251-2470

Other practice location 1

900 Broadway Ste 706
New York, NY 10003-1230
Phone (424) 347-6299

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

State licenses

LicenseStateTypeSpecialty
066915NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bobo Pharmacy Inc PastSince Jan 3, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1568059186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 70TH ST APT D5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281049",
            "telephone_number": "917-251-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6903 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045076",
            "telephone_number": "718-759-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Broadway Ste 706",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100031230",
            "country_code": "US",
            "telephone_number": "424-347-6299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAN",
        "first_name": "AMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.