MEDICARE: S V RAJ PHARMACY INC

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	333600000X	Pharmacy	018278	NY
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3380932	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1851478721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S V RAJ PHARMACY INC

Provider Business Mailing Address
First Line	:	222 HOYT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-2909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 HOYT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-2909
Country	:	US
Telephone Number	:	718-624-4238
Fax Number	:	718-624-8092

Authorized Official
Title or Position	:	PRES PHCST
Name	:	SITHAMBARAM SUBBIAH
Credential	:
Telephone Number	:	718-624-4238

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	09/11/2025

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