DR. RAVINDRA KUDUR


Address: 998 Crooked Hill Rd, Brentwood, NY 11717-1019
Phone: 6317612293

DR. RAVINDRA KUDUR (NPI# 1891947990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891947990
Entity Type Individual
Full Name DR. RAVINDRA KUDUR
Credential PHARM D
Practice Address 998 Crooked Hill Rd
Brentwood
NY 11717-1019
Mailing Address 588 Caledonia Rd
Dix Hills
NY 11746-5123
Practice Telephone 6317612293
Mailing Telephone 6315490966
Mailing Fax Number 6317612322
Enumeration Date 2008-10-21
Last Update Date 2008-10-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
035664-1 NY Pharmacy Service Providers

Office Location

Street Address 998 CROOKED HILL RD
City BRENTWOOD
State NY
Zip Code 11717-1019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275153603 Guerline Markowitz Registered Nurse 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2020-04-27
1528688074 Daniel Brian Bell Registered Nurse 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2020-04-24
1083248280 Schneidine Rely-supreme Licensed Practical Nurse 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2020-02-26
1285264762 Barbara M Bazemore Registered Nurse 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2020-01-23
1730727165 Gerard Fitzgerald Grant Licensed Practical Nurse 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2019-12-17
1982240768 Monica J Cuya Registered Nurse 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2019-11-27
1942846746 Alyssa Hope Smith Registered Nurse 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2019-11-27
1720624505 Lancia Dezalon Registered Nurse 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2019-11-27
1164068946 Kevin Fischer Registered Nurse 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2019-11-27
1538700778 Michael Vincent Massina Registered Nurse 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2019-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265998827 Lauretta Elaine Murdock Behavioral Analyst C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 2019-02-19
1811467467 Benjamin D. Thompkins Jr. Social Worker 164 3rd Avenue, Brentwood, NY 11717 2018-11-27
1114496262 Timothy Eisemann Registered Nurse 52 Third Ave, Brentwood, NY 11717 2018-11-19
1245710490 Lauren Linker Occupational Therapist Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 2018-08-17
1558849786 Anila Thomas Registered Nurse Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 2018-07-31
1306330857 Rhina Aguila Licensed Practical Nurse 162 Studley St, Brentwood, NY 11717 2018-06-19
1659863595 Steven Edward Szydziak Registered Nurse Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 2018-06-06
1881103570 Shatevia Simpson Hickson Behavioral Analyst 56 Swallow Ln, Brentwood, NY 11717 2017-09-25
1306375753 Shavona Layne Behavioral Analyst 8 Strum Streeet, Brentwood, NY 11717 2017-06-08
1669921334 David Ramirez Licensed Practical Nurse 27 Bruce Lane, Brentwood, NY 11717 2016-09-23
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891947354 Mandeep Sidhu Pharmacist 715 Richardson Dr, Brentwood, CA 94513-6462 2008-10-15
1669070470 Kari Frantzis Pharmacist 210 Franklin Rd, Brentwood, TN 37027-3218 2020-10-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285241794 Erika Modh Pharmacist 6220 11th Ave, Brooklyn, NY 11219-5204 2020-09-29
1457990657 Hina Khawaja Pharmacist 24 E 24th St, Huntington Station, NY 11746-3702 2020-01-06
1508411810 Michael Richard Izzo Pharmacist 104 Reservoir Rd, Little Falls, NY 13365-5924 2019-08-04
1306498100 Cerris Chung Pharmacist 320 E 94th St # 3f, New York, NY 10128-5604 2019-07-11
1558922419 Jennifer Sophia Orozco Pharmacist 1275 York Ave # 710, New York, NY 10065-6007 2019-06-21
1558846014 Lisa Chu Pharmacist 14634 23rd Ave, Whitestone, NY 11357-3514 2018-10-01
1841772514 Salvatore Oreste Pharmacist 32 Alder Dr, Kings Park, NY 11754-2202 2018-08-30
1184138885 B&t Port Richmond Pharmacy Inc. Pharmacist 251 Port Richmond Ave, Staten Island, NY 10302-1704 2017-11-17
1922510072 Robert O'connell Pharmacist 3840 211th St Fl 2, Bayside, NY 11361-1956 2017-10-30
1427577048 Fawzieh Mourtada Pharmacist Rite Aid, 540 West 235th Street, Bronx, NY 10643 2017-09-14
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Competitor

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City BRENTWOOD
Zip Code 11717

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Dataset Information

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.

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