Individual provider Active NPI

Joseph Thomas Niravathu, PHARMD

  • Pharmacist
  • New Paltz, NY
National Provider Identifier
1023536984
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063247 Issued in NY
Practice address
236 Main St
New Paltz, NY 12561-1314
Phone
(845) 255-9210
NPI assigned
Aug 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063247 NY Primary

Addresses

Primary practice location

236 Main St
New Paltz, NY 12561-1314

Mailing address

709 Drake Dr
Newburgh, NY 12550-6112
Phone (518) 391-9274

Other practice location 1

709 Drake Dr
Newburgh, NY 12550-6112
Phone (518) 391-9274

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
063247NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023536984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 DRAKE DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506112",
            "telephone_number": "518-391-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611314",
            "telephone_number": "845-255-9210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Drake Dr",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125506112",
            "country_code": "US",
            "telephone_number": "518-391-9274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIRAVATHU",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.