Active NPI
Maya Lane, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1881807691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047070
- Practice address
- 2201 Bath Ave
Brooklyn, NY 11214-5603 - Phone
- (718) 372-0797
- Fax
- (718) 372-0797
- NPI assigned
- May 8, 2007
- Last updated
- Aug 26, 2008
- 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 | 047070 | NY | Primary |
Addresses
Primary practice location
2201 Bath Ave
Brooklyn, NY 11214-5603
Mailing address
2201 Bath Ave
Brooklyn, NY 11214-5603
Phone (718) 372-0797
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
| License | State | Type | Specialty |
|---|---|---|---|
| 047070 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & S Pharmacy Inc | Past | Accepting new patients | |
| A & S Pharmacy Inc | Past | Accepting new patients |
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": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1881807691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 BATH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145603",
"telephone_number": "718-372-0797",
"fax_number": "718-372-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 BATH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145603",
"telephone_number": "718-372-0797",
"fax_number": "718-372-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MAYA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047070",
"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 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.