Alexander Achenkutty, PHARMD
Individual provider Active NPI Pharmacist · Freeport, NY
NPI 1801119102 · NPPES record last updated Sep 7, 2024
Key facts
- NPI
- 1801119102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 048752 (NY)
- Practice address
- 89 Henry St
Freeport, NY 11520-3906 - Phone
- (516) 623-9719
- Fax
- (516) 623-1983
- NPI assigned
- Mar 1, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048752 | NY | Yes |
Addresses
Primary practice location
89 Henry St
Freeport, NY 11520-3906
Mailing address
89 Henry St
Freeport, NY 11520-3906
Phone (516) 623-9719
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2024. 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.