Sreenivasa R Gade II

Primary specialty

PharmacistTaxonomy code 183500000X

License

044320 Issued in NY

Practice address

714 Seneca Ave
Ridgewood, NY 11385-2895

Phone

(718) 366-7766

Fax

(718) 366-7755

NPI assigned

Dec 18, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Rangel Pharmacy Inc

  • Pharmacy
  • New York, NY
  • NPI 1902268840
  NPD Authorized official
• Manav Pharmacy Inc

  • Community/Retail Pharmacy
  • Ridgewood, NY
  • NPI 1558780155
  NPD

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1700060423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852895",
            "telephone_number": "718-366-7766",
            "fax_number": "718-366-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852895",
            "telephone_number": "718-366-7766",
            "fax_number": "718-366-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADE",
        "first_name": "SREENIVASA",
        "middle_name": "R",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3343857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fresh Pond Physical Therapy, P.C
• Fresh Pond Podiatry PLLC
• Fresh Pond RX Inc
• Fresh Smiles PLLC
• Friendly Connections Inc
• Clare Gagne, CLC
• Mae Therese Galon
• Gara Medical Care PC
• Botros Garas, PA
• Annette Y Garcia, MSED,ECSE

• Pharmacist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.