Organization Active NPI

Parul Pharmacy Inc

Doing business as raan pharmacy

  • Community/Retail Pharmacy
  • Islip Terrace, NY
National Provider Identifier
1467482489
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
019272 Issued in NY
Legal business name
PARUL PHARMACY INC
Doing business as
raan pharmacy
Practice address
48 Lowell Ave
Islip Terrace, NY 11752-1415
Phone
(631) 581-4285
Fax
(631) 581-4313
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Chandrakant Trivedi, R.PHNPI 1558408666
Title
Pharmacist
Phone
(631) 581-4285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 019272 NY Primary

Addresses

Primary practice location

48 Lowell Ave
Islip Terrace, NY 11752-1415

Mailing address

48 Lowell Ave
Islip Terrace, NY 11752-1415
Phone (631) 581-4285

Other identifiers 1

IdentifierTypeStateIssuer
01000788MedicaidNY

Other names 1

  • raan pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171110000552 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9436278389 Practice locations: Islip Terrace, NY

National Provider Directory

National Provider Directory

Locations

48 Lowell Ave
Islip Terrace, NY 11752
Phone (631) 581-4285

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1467482489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LOWELL AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521415",
            "telephone_number": "631-581-4285",
            "fax_number": "631-581-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 LOWELL AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521415",
            "telephone_number": "631-581-4285",
            "fax_number": "631-581-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARUL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "CHANDRAKANT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "631-581-4285",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01000788",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "raan pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "raan pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Islip Terrace, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.