Individual provider Active NPI

Sunitha Talluri

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1730364597
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
055249 Issued in NY
Practice address
173 Marcus Garvey Blvd
Brooklyn, NY 11221-1408
Phone
(718) 249-0670
NPI assigned
Dec 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03270300 NJ
Pharmacist 183500000X PS38302 FL
Pharmacist 183500000X 055249 NY Primary

Addresses

Primary practice location

173 Marcus Garvey Blvd
Brooklyn, NY 11221-1408

Mailing address

173 Marcus Garvey Blvd
Brooklyn, NY 11221-1408
Phone (718) 249-0670

Other identifiers 1

IdentifierTypeStateIssuer
02778825MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
PS38302FLMDPharmacist
28RI03270300NJMDPharmacist
055249NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Drugs Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1730364597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MARCUS GARVEY BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211408",
            "telephone_number": "718-249-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MARCUS GARVEY BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211408",
            "telephone_number": "718-249-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLURI",
        "first_name": "SUNITHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-29",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03270300",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS38302",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02778825",
            "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 Dec 27, 2018; 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.