Individual provider Active NPI

Kazi M Anam, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1780754697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
030417 Issued in NY
Practice address
1472 Dekalb Ave
Brooklyn, NY 11237-3604
Phone
(718) 381-0018
Fax
(718) 456-4983
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 030417 NY Primary

Addresses

Primary practice location

1472 Dekalb Ave
Brooklyn, NY 11237-3604

Mailing address

251 38TH Rd
Little Neck, NY 11363-1318
Phone (718) 224-1209

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
030417NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
1491 Dekalb Ave Pharmacy Inc Past 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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780754697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 38TH RD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113631318",
            "telephone_number": "718-224-1209",
            "fax_number": "718-456-4983"
        },
        {
            "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": {
        "last_name": "ANAM",
        "first_name": "KAZI",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030417",
            "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 Jul 8, 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.