Organization Active NPI

Anh Pharmacy Inc

  • Health Maintenance Organization
  • Brooklyn, NY
National Provider Identifier
1902290216
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
033439 Issued in NY
Legal business name
ANH PHARMACY INC
Practice address
3167 Fulton St
Brooklyn, NY 11208-1922
Phone
(718) 484-8044
Fax
(718) 484-8042
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Mr. Mohammad Edreis
Title
Manager
Phone
(718) 484-8044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 033439 NY Primary

Addresses

Primary practice location

3167 Fulton St
Brooklyn, NY 11208-1922

Mailing address

3167 Fulton St
Brooklyn, NY 11208-1922
Phone (718) 484-8044

Other identifiers 1

IdentifierTypeStateIssuer
04184007MedicaidNY

Other names 1

  • anh pharmacy inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1902290216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081922",
            "telephone_number": "718-484-8044",
            "fax_number": "718-484-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081922",
            "telephone_number": "718-484-8044",
            "fax_number": "718-484-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "EDREIS",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-484-8044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "033439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04184007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "anh pharmacy inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 29, 2015; 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.