Individual provider Active NPI

Kutbuddin A Rangwala

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1184956708
Registry record updated Feb 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050597 Issued in NY
Practice address
1181 Liberty Ave
Brooklyn, NY 11208-3308
Phone
(718) 277-1580
NPI assigned
Feb 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 050597 NY Primary

Addresses

Primary practice location

1181 Liberty Ave
Brooklyn, NY 11208-3308

Mailing address

370 Hillside Dr S
New Hyde Park, NY 11040-2720
Phone (516) 248-3814

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1265500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265500800000",
    "number": "1184956708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HILLSIDE DR S",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402720",
            "telephone_number": "516-248-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LIBERTY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083308",
            "telephone_number": "718-277-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGWALA",
        "first_name": "KUTBUDDIN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-07",
        "last_updated": "2010-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050597",
            "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 7, 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.