Provider Demographics
NPI:1851429955
Name:KUMAR, BADRINATH A (MPHARM, RPH)
Entity Type:Individual
Prefix:MR
First Name:BADRINATH
Middle Name:A
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MPHARM, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-3119
Mailing Address - Country:US
Mailing Address - Phone:212-304-4646
Mailing Address - Fax:212-304-0759
Practice Address - Street 1:4915 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-3119
Practice Address - Country:US
Practice Address - Phone:212-304-4646
Practice Address - Fax:212-304-0759
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03003500183500000X
NY050737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist