Individual provider Active NPI

Mohan Nadipuram, RPH

  • Pharmacist
  • Yonkers, NY
National Provider Identifier
1760569321
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033033 Issued in NY
Practice address
438 South Broadway
Yonkers, NY 10705
Phone
(914) 423-1003
Fax
(914) 423-1083
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 033033 NY Primary

Addresses

Primary practice location

438 South Broadway
Yonkers, NY 10705

Mailing address

438 South Broadway
Yonkers, NY 10705
Phone (914) 423-1003

Other identifiers 1

IdentifierTypeStateIssuer
033033OtherNYPHARMACY BOARD

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
033033NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Baba Pharmacy 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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760569321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 SOUTH BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10705",
            "telephone_number": "914-423-1003",
            "fax_number": "914-423-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 SOUTH BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10705",
            "telephone_number": "914-423-1003",
            "fax_number": "914-423-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIPURAM",
        "first_name": "MOHAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "033033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY BOARD",
            "identifier": "033033",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.