Active NPI
Prasad Reddy Guntaka, RPH.
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1639328610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046631
- Practice address
- 392 Myrtle Ave
Brooklyn, NY 11205-2411 - Phone
- (718) 855-5958
- NPI assigned
- Sep 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 046631 | NY | Primary |
Addresses
Primary practice location
392 Myrtle Ave
Brooklyn, NY 11205-2411
Mailing address
392 Myrtle Ave
Brooklyn, NY 11205-2411
Phone (718) 855-5958
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046631 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Drugs Inc | Current | Accepting new patients | |
| Health Point Drugs Inc. | Current | Accepting new patients |
Locations
392 Myrtle Ave
Brooklyn, NY 11205
Phone (718) 855-5958
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 and National Provider Directory roles.
-
dba Health Point Drugs
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1912051285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1639328610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 MYRTLE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052411",
"telephone_number": "718-855-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 MYRTLE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052411",
"telephone_number": "718-855-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTAKA",
"first_name": "PRASAD",
"middle_name": "REDDY",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046631",
"primary": true
}
],
"identifiers": [],
"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 Sep 15, 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.