Provider Demographics
NPI:1164565461
Name:SVR INC.
Entity Type:Organization
Organization Name:SVR INC.
Other - Org Name:RANGEL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:DULAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAKRABORTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-283-7200
Mailing Address - Street 1:159-12 HARLEM RIVER DR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-1145
Mailing Address - Country:US
Mailing Address - Phone:212-283-7200
Mailing Address - Fax:212-283-1552
Practice Address - Street 1:159-12 HARLEM RIVER DR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-1145
Practice Address - Country:US
Practice Address - Phone:212-283-7200
Practice Address - Fax:212-283-1552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0265053336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02516470Medicaid