Active NPI
Dulal Chakraborty, RPH
- Geriatric Pharmacist
- New York, NY
National Provider Identifier
1104159326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 044755
- Practice address
- 159-12 Harlem River Dr
New York, NY 10039-1145 - Phone
- (212) 283-7200
- Fax
- (212) 283-1552
- NPI assigned
- Sep 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 044755 | NY | Primary |
Addresses
Primary practice location
159-12 Harlem River Dr
New York, NY 10039-1145
Mailing address
15 Long Ridge CT
Ledgewood, NJ 07852-2604
Phone (973) 347-6826
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044755 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rangel Pharmacy Inc | Past | Accepting new patients | |
| SVR Inc. | 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.
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1164565461
-
- Pharmacy
- New York, NY
- NPI 1902268840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1104159326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LONG RIDGE CT",
"city": "LEDGEWOOD",
"state": "NJ",
"postal_code": "078522604",
"telephone_number": "973-347-6826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159-12 HARLEM RIVER DR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100391145",
"telephone_number": "212-283-7200",
"fax_number": "212-283-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKRABORTY",
"first_name": "DULAL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NY",
"license": "044755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.