Surya Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027089 Issued in NY

Legal business name

SURYA PHARMACY INC

Practice address

12501 101St Ave
South Richmond Hill, NY 11419-1411

Phone

(718) 849-7300

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dhama Bakthavatsalu, RPH

Title

President

Phone

(718) 849-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richmond Hill Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

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

• Bakthavatsalu Dhama, RPH

  • Pharmacist
  • South Richmond Hill, NY
  • NPI 1528382561
  NPD (past)
• Nicholas A Ferrandino, RPH

  • Pharmacist
  • South Richmond Hill, NY
  • NPI 1376867622
  NPD (past)
• Daniel Goetz, PHARMD

  • Pharmacist
  • South Richmond Hill, NY
  • NPI 1487315396
  NPD (past)
• Jai I Sharma, RPH

  • Pharmacist
  • South Richmond Hill, NY
  • NPI 1326360629
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1861533952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 101ST AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191411",
            "telephone_number": "718-849-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 101ST AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191411",
            "telephone_number": "718-849-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURYA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "BAKTHAVATSALU",
        "authorized_official_first_name": "DHAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-849-7300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02617807",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Richmond Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Mohan Sukhnandan, OTR/L
• Susanna B Sukhram, FNP
• Tahmina Sultan, RPH
• Rohan Sumrah, RN
• Surujpaul Ragnauth MD PC
• Joseph Kramat Swami
• Frances Bello Sycip, PHARM. D
• Denise S Szandrowski, MD
• T&D Medical Supplies Inc
• Rana Tahir

• Community/Retail Pharmacy in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.