Active NPI
Narasimharao Nadendla, RPH.
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1124397849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057668
- Practice address
- 964 Rutland Rd
Rutland Pharmacy
Brooklyn, NY 11212-1544 - Phone
- (718) 774-9613
- NPI assigned
- Dec 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03472100 | NJ | |
| Pharmacist | 183500000X | RP446114 | PA | |
| Pharmacist | 183500000X | 5302039593 | MI | |
| Pharmacist | 183500000X | 057668 | NY | Primary |
| Pharmacist | 183500000X | 57842 | TX |
Addresses
Primary practice location
964 Rutland Rd
Rutland Pharmacy
Brooklyn, NY 11212-1544
Mailing address
1024 E 14TH St
Apt#3a
Brooklyn, NY 11230-4375
Phone (718) 758-4977
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 |
|---|---|---|---|
| 5302039593 | MI | MD | Pharmacist |
| 28RI03472100 | NJ | MD | Pharmacist |
| 057668 | NY | MD | Pharmacist |
| RP446114 | PA | MD | Pharmacist |
| 57842 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Pharmacy LLC | Current | Accepting new patients |
Locations
964 Rutland Rd
Brooklyn, NY 11212
Phone (718) 773-1058
Organizations & group practices 1
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
- Brooklyn, NY
- NPI 1043749724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1124397849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 E 14TH ST",
"address_2": "APT#3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304375",
"telephone_number": "718-758-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "964 RUTLAND RD",
"address_2": "RUTLAND PHARMACY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112121544",
"telephone_number": "718-774-9613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADENDLA",
"first_name": "NARASIMHARAO",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-27",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03472100",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP446114",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302039593",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057668",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "57842",
"primary": false
}
],
"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 Mar 21, 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.