Sricharan Gummadi, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

051840 Issued in NY

Practice address

5816 4TH Ave
Brooklyn, NY 11220-3810

Phone

(718) 567-0019

Fax

(718) 567-0029

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 59 Street RX Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1851876973
  NPD Authorized official
• 59 St Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1114338266
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1902093792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203810",
            "telephone_number": "718-567-0019",
            "fax_number": "718-567-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203810",
            "telephone_number": "718-567-0019",
            "fax_number": "718-567-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMMADI",
        "first_name": "SRICHARAN",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16913",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3374",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03062700",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudette Maria Gumbs, RN
• Erica La Verne Gumbs, RN
• Francelia Gumbs
• Vitaly Gumenik, OPTICIAN
• Margarita Gumerova
• Joanna Marie Gumtang, RPT
• Arumugam Gunasekaran, M.D.
• Hayriye Yaren Gunaydin, M.D.
• Kathleen Ann Gundacker
• Lucy Gundakian

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.