Individual provider Active NPI

Srikanth R Chamakura, R.P.H.

  • Pharmacist
  • New York, NY
National Provider Identifier
1235377136
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
048323 Issued in NY
Practice address
160 Lenox Ave
New York, NY 10026-1319
Phone
(212) 722-1550
Fax
(212) 722-4461
NPI assigned
Jan 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 048323 NY Primary

Addresses

Primary practice location

160 Lenox Ave
New York, NY 10026-1319

Mailing address

160 Lenox Ave
New York, NY 10026-1319
Phone (212) 722-1550

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
048323NYMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Avighna RX LLC Current Accepting new patients
Malcolm Pharmacy Inc Past Accepting new patients

Organizations & group practices 2

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1235377136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261319",
            "telephone_number": "212-722-1550",
            "fax_number": "212-722-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261319",
            "telephone_number": "212-722-1550",
            "fax_number": "212-722-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMAKURA",
        "first_name": "SRIKANTH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "R.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.