Active NPI
Anh Pharmacy Inc
- Health Maintenance Organization
- Brooklyn, NY
National Provider Identifier
1902290216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 033439
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04184007 | Medicaid | NY |
Other names 1
- anh pharmacy inc
National Provider Directory
National Provider DirectoryNPI 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.