Active NPI
Namratha Mary Kuruvilla
- Pharmacist
- Airmont, NY
National Provider Identifier
1861976458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064062
- Practice address
- 382 Route 59 Ste 276
Airmont, NY 10952-3422 - Phone
- (845) 368-2273
- NPI assigned
- Sep 19, 2018
- 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 | 064062 | NY | Primary |
Addresses
Primary practice location
382 Route 59 Ste 276
Airmont, NY 10952-3422
Mailing address
330 Bergen Ave Apt 203
Kearny, NJ 07032-3955
Phone (678) 282-4478
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064062 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1861976458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BERGEN AVE APT 203",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070323955",
"telephone_number": "678-282-4478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 ROUTE 59 STE 276",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109523422",
"telephone_number": "845-368-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURUVILLA",
"first_name": "NAMRATHA",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Airmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.