NPIMap

Individual provider Active NPI

Mohamad Cheaito, PHARMD

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1336665157
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063184 Issued in NY
Practice address
3027 3Rd Ave
Bronx, NY 10455-2647
Phone
(917) 473-7788
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063184 NY Primary

Addresses

Primary practice location

3027 3Rd Ave
Bronx, NY 10455-2647

Mailing address

67 N Henry St Apt 4R
Brooklyn, NY 11222-5549

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

LicenseStateTypeSpecialty
063184NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutphin RX Inc Current Accepting new patients
Cedra Pharmacy Inc Past Accepting new patients
Cedra Pharmacy Houston LLC Past 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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1336665157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 N HENRY ST APT 4R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552647",
            "telephone_number": "917-473-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEAITO",
        "first_name": "MOHAMAD",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063184",
            "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 Aug 15, 2017; 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.