Active NPI
Nidhish Suresh, PHARM.D
- Pharmacist
- Bronx, NY
National Provider Identifier
1295049435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054889
- Practice address
- 5564 Broadway
Bronx, NY 10463-5216 - Phone
- (718) 548-5884
- NPI assigned
- Jul 29, 2010
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 054889 | NY | Primary |
Addresses
Primary practice location
5564 Broadway
Bronx, NY 10463-5216
Mailing address
5564 Broadway
Bronx, NY 10463-5216
Phone (718) 548-5884
Other practice location 1
1134 East New York Ave
Brooklyn, NY 11212
Phone (718) 778-7901
Other practice location 2
1134 East New York Ave
Brooklyn, NY 11212
Phone (718) 778-7901
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 |
|---|---|---|---|
| 054889 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1295049435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5564 BROADWAY",
"city": "BRONX",
"state": "NY",
"postal_code": "104635216",
"telephone_number": "718-548-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5564 BROADWAY",
"city": "BRONX",
"state": "NY",
"postal_code": "104635216",
"telephone_number": "718-548-5884"
}
],
"practiceLocations": [
{
"address_1": "1134 East New York Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11212",
"country_code": "US",
"telephone_number": "718-778-7901",
"fax_number": "718-778-7907",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1134 East New York Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11212",
"country_code": "US",
"telephone_number": "718-778-7901",
"fax_number": "718-778-7907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURESH",
"first_name": "NIDHISH",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054889",
"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 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.