Individual provider Active NPI

Litty Frank Padikkala, R.PH

  • Pharmacist
  • Glen Oaks, NY
National Provider Identifier
1679895130
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
053220 Issued in NY
Practice address
25501 Union Tpke
Glen Oaks, NY 11004-1223
Phone
(718) 470-6100
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 053220 NY Primary

Addresses

Primary practice location

25501 Union Tpke
Glen Oaks, NY 11004-1223

Mailing address

25501 Union Tpke
Glen Oaks, NY 11004-1223
Phone (718) 470-6100

Other names 1

  • Litty Sairah Babu Former name

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

LicenseStateTypeSpecialty
053220NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1679895130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25501 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041223",
            "telephone_number": "718-470-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25501 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041223",
            "telephone_number": "718-470-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADIKKALA",
        "first_name": "LITTY",
        "middle_name": "FRANK",
        "name_prefix": "Mrs.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LITTY",
            "last_name": "BABU",
            "middle_name": "SAIRAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.