Sruti Mathur, PHARMACIST
Individual provider Active NPI Pharmacist · Congers, NY
NPI 1285806232 · NPPES record last updated Sep 28, 2018
Key facts
- NPI
- 1285806232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 51477 (NY)
- Practice address
- 15 S Route 303
Congers, NY 10920-2449 - Phone
- (845) 267-5945
- NPI assigned
- Mar 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51477 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 51477 | NY | Yes |
Addresses
Primary practice location
15 S Route 303
Congers, NY 10920-2449
Mailing address
5 Harmon PL
New City, NY 10956-2803
Phone (845) 323-4350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051477 | Other | NY | STATE BOARD OF PHARMACY |
Other providers in Congers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.