Active NPI
Narendar Reddy Bokka
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1528111507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045174
- Practice address
- 739 New Lots Ave
Brooklyn, NY 11207-7305 - Phone
- (718) 649-9535
- Fax
- (718) 649-3456
- NPI assigned
- Jan 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 045174 | NY | Primary |
Addresses
Primary practice location
739 New Lots Ave
Brooklyn, NY 11207-7305
Mailing address
3 Robin CT
Hicksville, NY 11801-4805
Phone (516) 938-5616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02081276 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 045174 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abhinav Corp | Pharmacist | Current | Accepting new patients |
Locations
739 New Lots Ave
Brooklyn, NY 11207
Phone (718) 649-9535
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, 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": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528111507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ROBIN CT",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014805",
"telephone_number": "516-938-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 NEW LOTS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112077305",
"telephone_number": "718-649-9535",
"fax_number": "718-649-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKKA",
"first_name": "NARENDAR",
"middle_name": "REDDY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02081276",
"state": "NY"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.