Active NPI
Abhishek Srivastava, PHARMD
- Pharmacist
- Monticello, NY
National Provider Identifier
1285179432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060063
- Practice address
- 524 Broadway
Monticello, NY 12701-1154 - Phone
- (845) 794-2345
- NPI assigned
- Dec 27, 2016
- Last updated
- Dec 27, 2016
- 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 | 060063 | NY | Primary |
| Pharmacist | 183500000X | 0013185 | CT |
Addresses
Primary practice location
524 Broadway
Monticello, NY 12701-1154
Mailing address
15 Top St
Westerly, RI 02891-1905
Phone (401) 919-6577
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0013185 | CT | MD | Pharmacist |
| 060063 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Drug Store | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1285179432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 TOP ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028911905",
"telephone_number": "401-919-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 BROADWAY",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127011154",
"telephone_number": "845-794-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIVASTAVA",
"first_name": "ABHISHEK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-27",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060063",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0013185",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.