Sunil Kumar Tickoo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0011599 Issued in CT

Practice address

Berneys Pharmacy
615 Howard Ave
New Haven, CT 06519-2112

Phone

(203) 562-4447

NPI assigned

Aug 10, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Columbus Chemists LLC

  • Community/Retail Pharmacy
  • New Haven, CT
  • NPI 1154569481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639694698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HOWARD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065192112",
            "telephone_number": "203-562-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BERNEYS PHARMACY",
            "address_2": "615 HOWARD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065192112",
            "telephone_number": "203-562-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICKOO",
        "first_name": "SUNIL",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0011599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamires Tiburtino
• Siena Tice
• Douglas Edwin Tichy, PA-C
• Eileen Mary Tichy, PAC RD
• Mayanka Tickoo, M.D., M.S.
• Roger Tieu
• Lauren Tiffen, DDS, CPH
• Robert E Tigelaar, MD
• Mae K Tighe, M.D.
• Emily Tiglio

• All providers in New Haven, CT
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.