Active NPI
Rathindra Kumar Roy
- Pharmacist
- South Ozone Park, NY
National Provider Identifier
1366765877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 034908
- Practice address
- 13026 Rockaway Blvd
South Ozone Park, NY 11420-2930 - Phone
- (718) 529-1130
- NPI assigned
- Mar 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 034908 | NY | Primary |
Addresses
Primary practice location
13026 Rockaway Blvd
South Ozone Park, NY 11420-2930
Mailing address
219 Melanie Dr
East Meadow, NY 11554-1444
Phone (516) 390-3973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01417514 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 034908 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1366765877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 MELANIE DR",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541444",
"telephone_number": "516-390-3973",
"fax_number": "718-659-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13026 ROCKAWAY BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114202930",
"telephone_number": "718-529-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "RATHINDRA",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-11",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "034908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01417514",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.