Organization Active NPI

SVRH Pharmacy Inc

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1619958386
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32022 Issued in NY
Legal business name
SVRH PHARMACY INC
Practice address
161 Smith St
Brooklyn, NY 11201-6337
Phone
(718) 596-1688
Fax
(718) 237-6078
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Mr. Suryanarayana MaddulaNPI 1750604716
Title
Pharmacist
Phone
(718) 596-1688

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 32022 NY Primary

Addresses

Primary practice location

161 Smith St
Brooklyn, NY 11201-6337

Mailing address

161 Smith St
Brooklyn, NY 11201-6337
Phone (718) 596-1688

Other identifiers 2

IdentifierTypeStateIssuer
017700OtherNYPHARMACY
00755202MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930003719 NY DME Supplier - Pharmacy 8123230992 Practice locations: Brooklyn, NY
O20201216001507 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8123230992 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
SVRH Pharmacy Inc161 Smith St, Brooklyn, NY 11201-6337(718) 596-1688 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Sep 7, 2001

National Provider Directory

National Provider Directory

Locations

161 Smith St
Brooklyn, NY 11201
Phone (718) 596-1688

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1619958386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016337",
            "telephone_number": "718-596-1688",
            "fax_number": "718-237-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016337",
            "telephone_number": "718-596-1688",
            "fax_number": "718-237-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVRH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "MADDULA",
        "authorized_official_first_name": "SURYANARAYANA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-596-1688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "32022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "017700",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00755202",
            "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 Feb 8, 2008; 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.