Individual provider Active NPI

Raghavendra Chede, PHARMD

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1427571025
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
062991 Issued in NY
Practice address
94 Greene Ave
Brooklyn, NY 11238-1011
Phone
(718) 783-0890
Fax
(718) 783-0893
NPI assigned
Jul 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 062991 NY Primary

Addresses

Primary practice location

94 Greene Ave
Brooklyn, NY 11238-1011

Mailing address

94 Greene Ave
Brooklyn, NY 11238-1011
Phone (718) 783-0890

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
062991NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Greene Van Pharmacy Corp CurrentSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427571025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381011",
            "telephone_number": "718-783-0890",
            "fax_number": "718-783-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381011",
            "telephone_number": "718-783-0890",
            "fax_number": "718-783-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEDE",
        "first_name": "RAGHAVENDRA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "062991",
            "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 Jul 21, 2022; 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.