Provider Demographics
NPI:1174046023
Name:GUPTA, RISHITA SUMIT (RPH)
Entity Type:Individual
Prefix:
First Name:RISHITA
Middle Name:SUMIT
Last Name:GUPTA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8422
Mailing Address - Country:US
Mailing Address - Phone:212-337-3242
Mailing Address - Fax:
Practice Address - Street 1:475 6TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8422
Practice Address - Country:US
Practice Address - Phone:212-337-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065298-1183500000X
FLPS56561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist