Individual provider Active NPI

Thomas Christopher Sutherland, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1124350608
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041634 Issued in NY
Practice address
454 5TH Ave
Brooklyn, NY 11215-4003
Phone
(718) 768-0600
Fax
(718) 832-2912
NPI assigned
Feb 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041634 NY Primary

Addresses

Primary practice location

454 5TH Ave
Brooklyn, NY 11215-4003

Mailing address

454 5TH Ave
Brooklyn, NY 11215-4003
Phone (718) 768-0600

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

LicenseStateTypeSpecialty
041634NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cresetti Drug Corp Current Accepting new patients
Neergaard Nyc Inc Current Accepting new patients
Tomassetti Drug Corp Current Accepting new patients

Locations

454 5th Ave
Brooklyn, NY 11215
Phone (718) 768-0600

Organizations & group practices 3

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1124350608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154003",
            "telephone_number": "718-768-0600",
            "fax_number": "718-832-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154003",
            "telephone_number": "718-768-0600",
            "fax_number": "718-832-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "THOMAS",
        "middle_name": "CHRISTOPHER",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.