NPIMap

Individual provider Active NPI

Nareen Adusumelli

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1245553205
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03066900 Issued in NJ
Practice address
2702 3Rd Ave
Bronx, NY 10454-1210
Phone
(718) 665-1410
Fax
(718) 665-5994
NPI assigned
Mar 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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 28RI03066900 NJ Primary

Addresses

Primary practice location

2702 3Rd Ave
Bronx, NY 10454-1210

Mailing address

2702 3Rd Ave
Bronx, NY 10454-1210
Phone (718) 665-1410

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

LicenseStateTypeSpecialty
28RI03066900NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Krowns Pharmacy Inc Current Accepting new patients
Port Ewen RX Inc Current Accepting new patients
Merk Pharma Inc Current 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": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1245553205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541210",
            "telephone_number": "718-665-1410",
            "fax_number": "718-665-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541210",
            "telephone_number": "718-665-1410",
            "fax_number": "718-665-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUSUMELLI",
        "first_name": "NAREEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03066900",
            "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 Mar 4, 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.