Individual provider Active NPI

Surya Prasad Lakoji

  • Pharmacist
  • New Haven, CT
National Provider Identifier
1114369501
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0012228 Issued in CT
Practice address
306 Grand Ave
New Haven, CT 06513-3730
Phone
(203) 776-7100
Fax
(203) 776-7102
NPI assigned
Jul 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0012228 CT Primary

Addresses

Primary practice location

306 Grand Ave
New Haven, CT 06513-3730

Mailing address

306 Grand Ave
New Haven, CT 06513-3730
Phone (203) 776-7100

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

State licenses

LicenseStateTypeSpecialty
PCT.0012228CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Pharmacy VII LLC CurrentSince Oct 9, 2022 Accepting new patients
New Haven Pharmacy, Inc PastSince Oct 1, 2022 Accepting new patients
New Haven Pharmacy, Inc Past Accepting new patients
Hancock Pharmacy VII LLC PastSince Jan 2, 2022 Accepting new patients

Locations

306 Grand Ave
New Haven, CT 06513
Phone (203) 455-8971

Organizations & group practices 4

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1114369501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133730",
            "telephone_number": "203-776-7100",
            "fax_number": "203-776-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133730",
            "telephone_number": "203-776-7100",
            "fax_number": "203-776-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKOJI",
        "first_name": "SURYA",
        "middle_name": "PRASAD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0012228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.