Active NPI
Suja Mary Varughese, PHARMD
- Pharmacist
- Roslyn Heights, NY
National Provider Identifier
1033533633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058613-1
- Practice address
- 421 Glen Cove Rd
Roslyn Heights, NY 11577-1811 - Phone
- (516) 621-5959
- Fax
- (516) 621-3184
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- 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 | 058613-1 | NY | Primary |
Addresses
Primary practice location
421 Glen Cove Rd
Roslyn Heights, NY 11577-1811
Mailing address
421 Glen Cove Rd
Roslyn, NY 11577
Phone (516) 621-5959
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
| License | State | Type | Specialty |
|---|---|---|---|
| 058613-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1033533633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 GLEN COVE RD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "11577",
"telephone_number": "516-621-5959",
"fax_number": "516-621-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 GLEN COVE RD",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771811",
"telephone_number": "516-621-5959",
"fax_number": "516-621-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARUGHESE",
"first_name": "SUJA",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058613-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.