Healthcare Provider Details

I. General information

NPI: 1992245864
Provider Name (Legal Business Name): ANP PHARMACEUTICALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 BROADWAY
NEW YORK NY
10034-1609
US

IV. Provider business mailing address

5030 BROADWAY
NEW YORK NY
10034-1609
US

V. Phone/Fax

Practice location:
  • Phone: 212-567-9800
  • Fax: 212-567-9805
Mailing address:
  • Phone: 212-567-9800
  • Fax: 212-567-9805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number034089
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MUNTASIR AZMI
Title or Position: SUPERVISING PHARMACIST
Credential:
Phone: 212-567-9800