Active NPI
Emily Rose Niravathu, PHARMD
- Pharmacist
- Newburgh, NY
National Provider Identifier
1851800031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063422
- Practice address
- 709 Drake Dr
Newburgh, NY 12550-6112 - Phone
- (518) 391-9275
- NPI assigned
- Sep 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 063422 | NY | Primary |
Addresses
Primary practice location
709 Drake Dr
Newburgh, NY 12550-6112
Mailing address
709 Drake Dr
Newburgh, NY 12550-6112
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063422 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1851800031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 DRAKE DR",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125506112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 DRAKE DR",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125506112",
"telephone_number": "518-391-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIRAVATHU",
"first_name": "EMILY",
"middle_name": "ROSE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.