Individual provider Active NPI

Trevor Latchminarain, RPH

  • Pharmacist
  • Maspeth, NY
National Provider Identifier
1750676821
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
055641 Issued in NY
Practice address
6656 Grand Ave
Maspeth, NY 11378-2531
Phone
(718) 446-6656
Fax
(718) 458-6656
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 055641 NY Primary

Addresses

Primary practice location

6656 Grand Ave
Maspeth, NY 11378-2531

Mailing address

8620 122ND St
Jamaica, NY 11418-2505
Phone (917) 416-0496

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
055641NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1750676821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 122ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182505",
            "telephone_number": "917-416-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6656 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782531",
            "telephone_number": "718-446-6656",
            "fax_number": "718-458-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATCHMINARAIN",
        "first_name": "TREVOR",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.