Active NPI
Gautam Kumar Nirmal, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1427119221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044295
- Practice address
- 828 Nostrand Ave
Brooklyn, NY 11216-4403 - Phone
- (718) 493-8833
- Fax
- (718) 604-1392
- NPI assigned
- Dec 13, 2006
- 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 | 044295 | NY | Primary |
Addresses
Primary practice location
828 Nostrand Ave
Brooklyn, NY 11216-4403
Mailing address
51 Rambling Dr
Scotch Plains, NJ 07076-2957
Phone (718) 953-4548
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044295 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San RX Inc | Past | Accepting new patients | |
| Avs RX Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1487699823
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1669417002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1427119221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 RAMBLING DR",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070762957",
"telephone_number": "718-953-4548",
"fax_number": "718-953-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112164403",
"telephone_number": "718-493-8833",
"fax_number": "718-604-1392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIRMAL",
"first_name": "GAUTAM",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.