Active NPI
Milind S Suvarnakar, PHARMACIST
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1235115668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039609
- Practice address
- 5105 Church Ave
Brooklyn, NY 11203-3511 - Phone
- (718) 922-3400
- Fax
- (718) 922-0348
- NPI assigned
- Dec 18, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 039609 | NY | Primary |
| Pharmacist | 183500000X | 022344 | NJ |
Addresses
Primary practice location
5105 Church Ave
Brooklyn, NY 11203-3511
Mailing address
11 Cottage LN
Clifton, NJ 07012-2103
Phone (973) 495-8856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01199600 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022344 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marg Pharmacy | Current | Accepting new patients | |
| Shanti Pharmacy Corp | Current | Accepting new patients | |
| Marg Pharmacy, Inc. | Current | Accepting new patients |
Locations
5105 Church Ave
Brooklyn, NY 11203
Phone (718) 240-9924
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.
-
- Pharmacy
- Brooklyn, NY
- NPI 1508842931
-
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
- NPI 1396721346
-
- Pharmacy
- Brooklyn, NY
- NPI 1932185352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1235115668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 COTTAGE LN",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070122103",
"telephone_number": "973-495-8856",
"fax_number": "718-922-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112033511",
"telephone_number": "718-922-3400",
"fax_number": "718-922-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUVARNAKAR",
"first_name": "MILIND",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-18",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039609",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "022344",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01199600",
"state": "NY"
}
],
"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 Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.