NPIMap

Individual provider Active NPI

Sunil Chandra Sutradhar

  • Pharmacist
  • Miami, FL
National Provider Identifier
1467735241
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS 40744 Issued in FL
Practice address
3490 Bird Ave
Miami, FL 33133-4301
Phone
(305) 446-5037
Fax
(305) 446-9105
NPI assigned
Sep 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 40744 FL Primary

Addresses

Primary practice location

3490 Bird Ave
Miami, FL 33133-4301

Mailing address

3490 Bird Ave
Miami, FL 33133-4301
Phone (305) 446-5037

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

LicenseStateTypeSpecialty
PS 40744FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Taruj, Inc. Current Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Mar 20, 2022 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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1467735241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 BIRD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334301",
            "telephone_number": "305-446-5037",
            "fax_number": "305-446-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 BIRD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334301",
            "telephone_number": "305-446-5037",
            "fax_number": "305-446-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTRADHAR",
        "first_name": "SUNIL",
        "middle_name": "CHANDRA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 40744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.