Organization Active NPI

Venkat Pharm Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1770655912
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
047228 Issued in NY
Legal business name
VENKAT PHARM INC
Practice address
1484 Fulton St
Brooklyn, NY 11216-2505
Phone
(718) 773-3700
Fax
(718) 773-4425
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Chirag ParikhNPI 1174855597
Title
Pharmacy Manager
Phone
(718) 773-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 047228 NY
Pharmacy 333600000X 047228 NY Primary

Addresses

Primary practice location

1484 Fulton St
Brooklyn, NY 11216-2505

Mailing address

1484 Fulton St
Brooklyn, NY 11216-2505
Phone (718) 773-3700

Other identifiers 1

IdentifierTypeStateIssuer
02473967MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930095437 NY DME Supplier - Pharmacy 1153538582 Practice locations: Brooklyn, NY
O20140917002881 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1153538582 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Rite Choice Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1770655912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162505",
            "telephone_number": "718-773-3700",
            "fax_number": "718-773-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162505",
            "telephone_number": "718-773-3700",
            "fax_number": "718-773-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENKAT PHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "718-773-3700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "047228",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "047228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02473967",
            "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 Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.