Organization Active NPI

New York Pharmacy & Surgicals Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1871348136
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Apr 20, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

SupplierSuppliesMedicare assignment
New York Pharmacy & Surgicals Inc2611 Frederick Douglass Blvd, New York, NY 10030-3496(212) 234-2345 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 18, 2024

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in New York, NY

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.

Verify at the official NPI Registry.