MEDICARE: MR. ASHOKA BENEDICT GOMES B.S., MS, PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	055183	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528312238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ASHOKA BENEDICT GOMES B.S., MS, PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 10831
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-0831
Country	:	US
Telephone Number	:	917-446-2884
Fax Number	:

Provider Business Practice Location Address
First Line	:	9401, #7, 37TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-1137
Country	:	US
Telephone Number	:	347-699-1237
Fax Number	:	347-699-1237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2012
Last Update Date	:	06/04/2026

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