1491 Dekalb Ave Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

1491 DEKALB AVE PHARMACY INC

Doing business as

Dekalb Pharmacy

Practice address

1472 Dekalb Ave
Brooklyn, NY 11237-3604

Phone

(718) 381-0018

Fax

(718) 456-4983

NPI assigned

Dec 26, 2006

Last updated

Sep 11, 2025By 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

Kazi AnamNPI 1780754697

Title

Pres

Phone

(718) 381-0018

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DEKALB PHARMACY Doing business as

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.

• Kazi M Anam, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1780754697
  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760547186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1472 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373604",
            "telephone_number": "718-381-0018",
            "fax_number": "718-456-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1491 DEKALB AVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ANAM",
        "authorized_official_first_name": "KAZI",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-381-0018"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "018542",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01313964",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3383243",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEKALB PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.