Active NPI
Anna Mak, PHARMD
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1861080244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067274
- Practice address
- 2590 Coney Island Ave
Brooklyn, NY 11223-5537 - Phone
- (718) 648-0120
- NPI assigned
- Jan 1, 2021
- Last updated
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 067274 | NY | Primary |
Addresses
Primary practice location
2590 Coney Island Ave
Brooklyn, NY 11223-5537
Mailing address
2590 Coney Island Ave
Brooklyn, NY 11223-5537
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067274 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2590 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 648-0120
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1861080244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2590 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112235537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2590 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112235537",
"telephone_number": "718-648-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAK",
"first_name": "ANNA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-01",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067274",
"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 Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.