Healthcare Provider Details

I. General information

NPI: 1497921506
Provider Name (Legal Business Name): AKASH JACOB ALEXANDER PHARM.D., BCPS, CDE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQ E SUITES 3G, 3H, 3J
NEW YORK NY
10003-3314
US

IV. Provider business mailing address

10 UNION SQ E SUITES 3G, 3H, 3J
NEW YORK NY
10003-3314
US

V. Phone/Fax

Practice location:
  • Phone: 212-844-6504
  • Fax:
Mailing address:
  • Phone: 212-844-6504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202208228
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number20055588
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: