Organization Active NPI

Truptisudhir Pharmacy Corp

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1104159979
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029894 Issued in NY
Legal business name
TRUPTISUDHIR PHARMACY CORP
Practice address
2901 White Plains Rd
Bronx, NY 10467-8129
Phone
(718) 881-7958
Fax
(347) 824-2002
NPI assigned
Sep 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Sudhir Patel
Title
Pharmacist in Charge
Phone
(718) 881-7958

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029894 NY Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2901 White Plains Rd
Bronx, NY 10467-8129

Mailing address

2901 White Plains Rd
Bronx, NY 10467-8129
Phone (718) 881-7958

Other identifiers 2

IdentifierTypeStateIssuer
03153495MedicaidNY
2123841OtherPK

Other names 1

  • Sirisha Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930056639 NY DME Supplier - Pharmacy 8628269966 Practice locations: Bronx, NY
O20210129001474 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8628269966 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Tax ID family
Truptisudhir Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1104159979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678129",
            "telephone_number": "718-881-7958",
            "fax_number": "347-824-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678129",
            "telephone_number": "718-881-7958",
            "fax_number": "347-824-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUPTISUDHIR PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "718-881-7958"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029894",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03153495",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sirisha Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.