Individual provider Active NPI

Sanjaykumar Pravinbhai Trivedi, RPH

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1194984435
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047910 Issued in NY
Practice address
826 E Tremont Ave
Bronx, NY 10460-4146
Phone
(718) 294-7147
Fax
(718) 294-7146
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047910 NY Primary

Addresses

Primary practice location

826 E Tremont Ave
Bronx, NY 10460-4146

Mailing address

826 E Tremont Ave
Bronx, NY 10460-4146
Phone (718) 294-7147

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
047910NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shivshakti RX LLC. Current Accepting new patients
Care Well RX Inc Past Accepting new patients
Care Well Pharmacy & Surgical Inc Pharmacist Past Accepting new patients

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1194984435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604146",
            "telephone_number": "718-294-7147",
            "fax_number": "718-294-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604146",
            "telephone_number": "718-294-7147",
            "fax_number": "718-294-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "SANJAYKUMAR",
        "middle_name": "PRAVINBHAI",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.