Sonal D Trivedi, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

040408 Issued in NY

Practice address

267 N Main St
Liberty, NY 12754-1850

Phone

(845) 295-5456

NPI assigned

Jan 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sonal D Trivedi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sullivan Pharmacy Inc

  • Community/Retail Pharmacy
  • Liberty, NY
  • NPI 1194810770
  NPD

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1821329905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WILLEY AVE",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541611",
            "telephone_number": "845-292-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 N MAIN ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541850",
            "telephone_number": "845-295-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "SONAL",
        "middle_name": "D",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE PHARMACIST LIC #",
            "identifier": "040408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONAL",
            "last_name": "TRIVEDI",
            "middle_name": "D",
            "credential": "BS PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phyllis Thomas-Moore, RN
• Debra Mae Tompkins, R.N.
• Jennifer J Tompkins, RN
• Town of Liberty Volunteer Ambulance Corps Inc
• Lauren Elizabeth Trainor, OTR/L
• Lara Troisi, PMHNP-BC
• Iris Robin Turtz, LMSW
• Elise Ulaj, COTA/L
• Michael Alan Valenti
• Rachel Annamae Van Tuyl, LMSW

• Pharmacist in Liberty, NY
• Providers in Liberty, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.