Individual provider Active NPI

Varghese Abraham

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1558518399
Registry record updated Aug 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047519 Issued in NY
Practice address
75 W Burnside Ave
Bronx, NY 10453-4015
Phone
(718) 731-8505
Fax
(718) 731-8127
NPI assigned
Aug 23, 2008
Last updated
Aug 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047519 NY Primary

Addresses

Primary practice location

75 W Burnside Ave
Bronx, NY 10453-4015

Mailing address

915 N 7TH St
New Hyde Park, NY 11040-3032
Phone (516) 238-0018

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
047519NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
75 Burnside Drug and Surgical Inc CurrentSince Dec 8, 2024 Accepting new patients
75 Burnside Drug and Surgical Inc Current Accepting new patients

Locations

75 W Burnside Ave
Bronx, NY 10453
Phone (718) 731-8505

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": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219449600000",
    "number": "1558518399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N 7TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403032",
            "telephone_number": "516-238-0018",
            "fax_number": "718-731-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534015",
            "telephone_number": "718-731-8505",
            "fax_number": "718-731-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "VARGHESE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-23",
        "last_updated": "2008-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2008; 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.