Individual provider Active NPI

A Kumar Suraneni, BS

  • Pharmacist
  • New York, NY
National Provider Identifier
1790826949
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
04951 Issued in NY
Practice address
605 W 168TH St
New York, NY 10032-3705
Phone
(212) 568-1300
Fax
(212) 927-3960
NPI assigned
Feb 9, 2007
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 04951 NY Primary

Addresses

Primary practice location

605 W 168TH St
New York, NY 10032-3705

Mailing address

605 W 168TH St
New York, NY 10032-3705
Phone (212) 568-1300

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
04951NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Melbran Drugs Inc Current Accepting new patients
Oakland Pharmacy RX, LLC Pharmacist Current Accepting new patients
Uptown Pharmacy & Surgicals Inc Current Accepting new patients

Locations

605 W 168th St
New York, NY 10032
Phone (212) 568-1300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1790826949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323705",
            "telephone_number": "212-568-1300",
            "fax_number": "212-927-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323705",
            "telephone_number": "212-568-1300",
            "fax_number": "212-927-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURANENI",
        "first_name": "A KUMAR",
        "name_prefix": "Mr.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "04951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.