Active NPI
New York Pharmacy & Surgicals Inc
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1871348136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NEW YORK PHARMACY & SURGICALS INC
- Practice address
- 2611 Frederick Douglass Blvd
New York, NY 10030-3496 - Phone
- (212) 234-2345
- Fax
- (212) 234-6789
- NPI assigned
- Apr 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Naveen G Kutha
- Title
- Owner
- Phone
- (212) 234-2345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2611 Frederick Douglass Blvd
New York, NY 10030-3496
Mailing address
2611 Frederick Douglass Blvd
New York, NY 10030-3496
Phone (212) 234-2345
Other names 1
- Kings Pharmacy & Surgicals
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240625000130 | NY | Part B Supplier - Pharmacy | 8123561628 | Practice locations: New York, NY |
| O20241230001592 | NY | DME Supplier - Pharmacy | 8123561628 | Practice locations: New York, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| New York Pharmacy & Surgicals Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2611 Frederick Douglass Blvd
New York, NY 10030
Phone (212) 234-2345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713571200000",
"number": "1871348136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 FREDERICK DOUGLASS BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100303496",
"telephone_number": "212-234-2345",
"fax_number": "212-234-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 FREDERICK DOUGLASS BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100303496",
"telephone_number": "212-234-2345",
"fax_number": "212-234-6789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK PHARMACY & SURGICALS INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-20",
"last_updated": "2024-04-20",
"certification_date": "2024-04-20",
"status": "A",
"authorized_official_last_name": "KUTHA",
"authorized_official_first_name": "NAVEEN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-234-2345",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kings Pharmacy & Surgicals",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.