Individual provider Active NPI

Amena Patwary

  • Pharmacist
  • Elmhurst, NY
National Provider Identifier
1912527771
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066589 Issued in NY
Practice address
4040 79TH St Apt B506
Elmhurst, NY 11373-1131
Phone
(646) 841-7021
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066589 NY Primary

Addresses

Primary practice location

4040 79TH St Apt B506
Elmhurst, NY 11373-1131

Mailing address

20 W 36TH St
New York, NY 10018-8005
Phone (212) 675-3900

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

State licenses

LicenseStateTypeSpecialty
066589NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Capsule Corporation CurrentSince Apr 26, 2020 Accepting new patients

Locations

20 W 36th St
New York, NY 10018
Phone (212) 675-3900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1912527771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 36TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100188005",
            "telephone_number": "212-675-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 79TH ST APT B506",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731131",
            "telephone_number": "646-841-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATWARY",
        "first_name": "AMENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.