Provider Demographics
NPI:1922185610
Name:ANNE, SANKAR (RPH)
Entity Type:Individual
Prefix:MR
First Name:SANKAR
Middle Name:
Last Name:ANNE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 CONCOURSE VLG W
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3801
Mailing Address - Country:US
Mailing Address - Phone:718-665-0026
Mailing Address - Fax:718-665-6521
Practice Address - Street 1:767 CONCOURSE VLG W
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3801
Practice Address - Country:US
Practice Address - Phone:718-665-0026
Practice Address - Fax:718-665-6521
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031164183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01338747Medicaid