Yadagiri R Pendyala, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03332300 Issued in NJ

Practice address

182 N Broadway
Pennsville, NJ 08070-1419

Phone

(856) 514-2638

Fax

(856) 514-2678

NPI assigned

Jul 11, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ahy Pharma Inc

  • Community/Retail Pharmacy
  • Elmer, NJ
  • NPI 1154156651
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1013369339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 N BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701419",
            "telephone_number": "856-514-2638",
            "fax_number": "856-514-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 N BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701419",
            "telephone_number": "856-514-2638",
            "fax_number": "856-514-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDYALA",
        "first_name": "YADAGIRI",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03332300",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "48322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Tuan Nguyen
• Rebecca Olejniczak, PSY.D., M.B.A.
• Ophthalmic Surgeons LLC
• Optimal Health Solutions
• Peaceful Hands Home Care LLC
• Pennsalem Medical Center, Inc.
• Pennscarerx Pharma Inc
• Pennsville Al, LLC
• Pennsville Medical Imaging
• Pennsville Radiology Inc.

• Pharmacist in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.