Provider Demographics
NPI:1992841241
Name:A. N PHARMACY INC.
Entity Type:Organization
Organization Name:A. N PHARMACY INC.
Other - Org Name:COUNTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BUDDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJUMDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-783-1143
Mailing Address - Street 1:580 NOSTRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-2806
Mailing Address - Country:US
Mailing Address - Phone:718-783-1143
Mailing Address - Fax:718-783-0925
Practice Address - Street 1:580 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-2806
Practice Address - Country:US
Practice Address - Phone:718-783-1143
Practice Address - Fax:347-715-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020056183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01104672Medicaid
NY3394094OtherNCPDP NUMBER
NY3394094OtherNCPDP NUMBER