Active NPI
Madhusudan I Patni
- Pharmacist
- Ozone Park, NY
National Provider Identifier
1942221643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028536
- Practice address
- 9320 Liberty Ave
Ozone Park, NY 11417-1528 - Phone
- (718) 641-5648
- NPI assigned
- Jul 21, 2006
- Last updated
- Feb 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 028536 | NY | Primary |
Addresses
Primary practice location
9320 Liberty Ave
Ozone Park, NY 11417-1528
Mailing address
9320 Liberty Ave
Ozone Park, NY 11417-1528
Phone (718) 641-5648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028536 | Other | NY | STATE LICENSE NO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JB Pharmacy Inc | Past | Accepting new patients | |
| SMP Pharmacy Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202428800000",
"number": "1942221643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9320 LIBERTY AVE",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114171528",
"telephone_number": "718-641-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9320 LIBERTY AVE",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114171528",
"telephone_number": "718-641-5648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATNI",
"first_name": "MADHUSUDAN",
"middle_name": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2008-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "028536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NO",
"identifier": "028536",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.