Civa Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

017492 Issued in NY

Legal business name

CIVA DRUG CORP

Practice address

761 Suffolk Ave
Brentwood, NY 11717-4409

Phone

(631) 273-3314

Fax

(631) 273-8863

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Digesh ThakerNPI 1104148873

Title

RX MNGR

Phone

(631) 273-3314

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BRENTWOOD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Civa Drug 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.

• Civa Drug Corp

  • Long Term Care Pharmacy
  • Brentwood, NY
  • NPI 1336837780
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Civa Drug Corp

  • Long Term Care Pharmacy
  • Brentwood, NY
  • NPI 1336837780
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Digesh C Thaker, R.PH.

  • Pharmacist
  • Brentwood, NY
  • NPI 1104148873
  NPD Authorized official
• Ashok Pancholi

  • Pharmacist
  • Brentwood, NY
  • NPI 1063735587
  NPD (past)
• Chinmayee M Rali, RPH

  • Pharmacist
  • Brentwood, NY
  • NPI 1710299680
  NPD (past)
• Shruti D Thaker, R.PH.

  • Pharmacist
  • Brentwood, NY
  • NPI 1255653929
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1174534739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174409",
            "telephone_number": "631-273-3314",
            "fax_number": "631-273-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174409",
            "telephone_number": "631-273-3314",
            "fax_number": "631-273-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVA DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-19",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "THAKER",
        "authorized_official_first_name": "DIGESH",
        "authorized_official_title_or_position": "RX MNGR",
        "authorized_official_telephone_number": "631-273-3314"
    },
    "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": "017492",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00713240",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRENTWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRENTWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chowdhury Medical PC
• Judith Chukwuma
• Young Hoon Chung, DMD
• Linda Ciavarelli, LMSW
• Laura Cicero
• Civa Drug Corp
• Charlene M Clark, LPN
• Karen Claros Argueta
• Marie Y. Clerge
• David Steven Close, PSY.D.

• Community/Retail Pharmacy in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.