NPIMap

Individual provider Active NPI

Anna Rayetsky, PHARMD

  • Pharmacist
  • New York, NY
National Provider Identifier
1922527597
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063418 Issued in NY
Practice address
298 1St Ave
New York, NY 10009-1850
Phone
(212) 777-0740
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063418 NY Primary

Addresses

Primary practice location

298 1St Ave
New York, NY 10009-1850

Mailing address

2475 E 11TH St Apt 6F
Brooklyn, NY 11235-5041
Phone (646) 247-0108

Other practice location 1

210 Union Ave
Brooklyn, NY 11211-6521
Phone (718) 963-3130

Other practice location 2

300 E 23rd St
New York, NY 10010-4776
Phone (212) 685-2047

Other practice location 3

2590 Coney Island Ave
Brooklyn, NY 11223-5537
Phone (718) 648-0120

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL walgreens.com

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

LicenseStateTypeSpecialty
063418NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 6, 2022 Accepting new patients
Walgreen Co PastSince Dec 1, 2019 Accepting new patients
Walgreen Co PastSince Mar 13, 2022 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Dec 1, 2019 Accepting new patients

Locations

298 1st Ave
New York, NY 10009
Phone (212) 777-0740

Organizations & group practices 5

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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1922527597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 E 11TH ST APT 6F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355041",
            "telephone_number": "646-247-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091850",
            "telephone_number": "212-777-0740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112116521",
            "country_code": "US",
            "telephone_number": "718-963-3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104776",
            "country_code": "US",
            "telephone_number": "212-685-2047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2590 Coney Island Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112235537",
            "country_code": "US",
            "telephone_number": "718-648-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYETSKY",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "walgreens.com",
            "affiliation": "N",
            "address_1": "2590 Coney Island Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112235537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.