Individual provider Active NPI

Chandrakant L Trivedi, PHARMACIST

  • Nutrition Support Pharmacist
  • Islip Terrace, NY
National Provider Identifier
1558408666
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
35216 Issued in NY
Practice address
48 Lowell Ave
Islip Terrace, NY 11752-1415
Phone
(631) 581-4285
Fax
(631) 581-4313
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X 35216 NY Primary

Addresses

Primary practice location

48 Lowell Ave
Islip Terrace, NY 11752-1415

Mailing address

4 Winding LN
Islandia, NY 11749-6145
Phone (631) 348-7578

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
35216NYMDNutrition Support Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Parul Pharmacy Inc CurrentSince Sep 21, 2025 Accepting new patients
Parul Pharmacy Inc Current Accepting new patients

Locations

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

Organizations & group practices 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558408666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WINDING LN",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117496145",
            "telephone_number": "631-348-7578"
        },
        {
            "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": {
        "last_name": "TRIVEDI",
        "first_name": "CHANDRAKANT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "NY",
            "license": "35216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.

Verify at the official NPI Registry.