Ana D Sanjurjo-Rivera
Individual provider Active NPI Pharmacist · Haverstraw, NY
NPI 1679744403 · NPPES record last updated Mar 19, 2008
Key facts
- NPI
- 1679744403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 041262-1 (NY)
- Practice address
- 3 Broadway
Haverstraw, NY 10927-1605 - Phone
- (845) 429-2804
- Fax
- (845) 429-3488
- NPI assigned
- Mar 19, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041262-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Americas Pharmacy Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041262-1 | NY | Yes |
Addresses
Primary practice location
3 Broadway
Haverstraw, NY 10927-1605
Mailing address
3 Broadway
Haverstraw, NY 10927-1605
Phone (845) 429-2804
Other providers in Haverstraw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.