Organization Active NPI

Kakatiya Inc

Doing business as Frederick Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1114399367
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034144 Issued in NY
Legal business name
KAKATIYA INC
Doing business as
Frederick Pharmacy
Practice address
2452 8TH Ave
New York, NY 10027-7701
Phone
(212) 283-9114
Fax
(212) 283-9338
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Venkateswara Malineni
Title
President
Phone
(212) 283-9114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 034144 NY Primary

Addresses

Primary practice location

2452 8TH Ave
New York, NY 10027-7701

Mailing address

2452 8TH Ave
New York, NY 10027-7701
Phone (212) 283-9114

Other identifiers 1

IdentifierTypeStateIssuer
2157434OtherPK

Other names 1

  • Frederick Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frederick Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1114399367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 8TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277701",
            "telephone_number": "212-283-9114",
            "fax_number": "212-283-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 8TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277701",
            "telephone_number": "212-283-9114",
            "fax_number": "212-283-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAKATIYA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "MALINENI",
        "authorized_official_first_name": "VENKATESWARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-283-9114"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157434",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 2016; 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.