MR. SURYA PRASAD LAKOJI (NPI# 1114369501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114369501 |
| Entity Type | Individual |
| Full Name | MR. SURYA PRASAD LAKOJI |
| Practice Address |
382 Grand Ave New Haven CT 06513-3733 |
| Practice Telephone | 2037773700 |
| Practice Fax Number | 2037773701 |
| Mailing Telephone | 2037773700 |
| Mailing Fax Number | 2037773701 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 059947 | NY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PCT.0012228 | CT | Pharmacy Service Providers |
| Street Address |
382 GRAND AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902141872 | New Haven Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 382 Grand Ave, New Haven, CT 06513-3733 | 2012-12-04 |
| 1316485212 | Vincent Bucchieri | Pharmacist | 382 Grand Ave, New Haven, CT 06513-3733 | 2017-02-10 |
| 1871920918 | Suneetha Jakka | Pharmacist | 382 Grand Ave, New Haven, CT 06513-3733 | 2013-10-03 |
| 1508298506 | Anup Kurra | Pharmacist | 382 Grand Ave, New Haven, CT 06513-3733 | 2013-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| Find all providers in zip 06513 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1487212635 | Brittany Clarissa Langdon | Pharmacist | 1450 Chapel St Rm V140n, New Haven, CT 06511-4405 | 2019-06-03 |
| 1841704277 | Daniela Alzate-molina | Pharmacist | 249 Legion Ave, New Haven, CT 06519-5508 | 2017-11-21 |
| 1639694698 | Sunil Kumar Tickoo | Pharmacist | Berneys Pharmacy, 615 Howard Ave, New Haven, CT 06519-2112 | 2017-08-10 |
| 1265893143 | Leon Cushman | Pharmacist | 1168 Whalley Ave, New Haven, CT 06515-1705 | 2016-03-18 |
| 1871997627 | Bhumi Patel | Pharmacist | 44 Orange St, Apt 523, New Haven, CT 06510-3130 | 2014-10-22 |
| 1356612634 | David Eld | Pharmacist | 55 Park Street, Suite 1a, New Haven, CT 06511 | 2012-01-19 |
| 1780954719 | Rebecca Reeve | Pharmacist | 53 Park St, New Haven, CT 06511-5474 | 2012-01-06 |
| 1841568441 | Pamela Cavallo | Pharmacist | 55 Park St., New Haven, CT 06511 | 2011-12-09 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.