Active NPI
Roy Mahesh
- Pharmacist
- Ridgewood, NY
National Provider Identifier
1003092016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046165
- Practice address
- 6032 Fresh Pond Road
Ridgewood, NY 11385 - Phone
- (718) 304-9764
- NPI assigned
- Jan 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046165 | NY | Primary |
Addresses
Primary practice location
6032 Fresh Pond Road
Ridgewood, NY 11385
Mailing address
6632 Fresh Pond Rd
Ridgewood, NY 11385-3305
Phone (718) 304-9764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgewood Chemists Inc | Current | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Locations
6632 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 304-9764
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ridgewood, NY
- NPI 1104594316
-
- Pharmacy
- Elmont, NY
- NPI 1336154400
-
- Pharmacy
- Brookhaven, PA
- NPI 1215942206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1003092016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6632 FRESH POND RD",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113853305",
"telephone_number": "718-304-9764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6032 FRESH POND ROAD",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "11385",
"telephone_number": "718-304-9764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHESH",
"first_name": "ROY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-21",
"last_updated": "2022-07-14",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.