Organization Active NPI

Shanti Pharmacy Corp

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1508842931
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
020652 Issued in NY
Legal business name
SHANTI PHARMACY CORP
Doing business as
Silver Rod Drugs
Practice address
5105 Church Ave
Brooklyn, NY 11203-3511
Phone
(718) 922-3400
Fax
(718) 922-0348
NPI assigned
Dec 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Mr. Milind S Suvarnakar, PHARMACISTNPI 1235115668
Title
Secretary
Phone
(718) 922-3400

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
Pharmacy 333600000X 020652 NY Primary

Addresses

Primary practice location

5105 Church Ave
Brooklyn, NY 11203-3511

Mailing address

5105 Church Ave
Brooklyn, NY 11203-3511
Phone (718) 922-3400

Other identifiers 1

IdentifierTypeStateIssuer
01199600MedicaidNY

Other names 1

  • Silver Rod Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930007448 NY DME Supplier - Pharmacy 0941418339 Practice locations: Brooklyn, NY
O20210405001969 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0941418339 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shanti Pharmacy Corp5105 Church Ave, Brooklyn, NY 11203-3511(718) 922-3400 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 13, 2004

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5105 Church Ave
Brooklyn, NY 11203
Phone (718) 240-9924

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": "1134864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1508842931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033511",
            "telephone_number": "718-922-3400",
            "fax_number": "718-922-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033511",
            "telephone_number": "718-922-3400",
            "fax_number": "718-922-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTI PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "SUVARNAKAR",
        "authorized_official_first_name": "MILIND",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-922-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "020652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01199600",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Rod Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.