Cannon Pharmacy

LBN: Anaya I Inc
Cannon Pharmacy is an health care organization with primary practice located at 23 S Main St , Freeport NY 11520-3603. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Anaya I Inc can be contacted via phone (516) 623-2222, or through Desai, Ankit via phone (347) 470-6061.

Contact Information

Primary practice address
23 S Main St Freeport NY 11520-3603
Phone: (516) 623-2222
Fax: (516) 378-0041
Website:
Map and Directions
Authorized official contact:
Name: Desai, Ankit
Phone: (347) 470-6061

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 034914 New York
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1114377256
LBN Legal business name Anaya I Inc
DBA Doing business as Cannon Pharmacy
Authorized official Desai, Ankit
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2016
Last updated Jan 25th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114377256 NPPES
New York MEDICAID 04590112
New York Other 2160888

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