Individual provider Active NPI

Chandra S Vipparla, RPH

  • Pharmacist
  • New Haven, CT
National Provider Identifier
1053753087
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10449 Issued in CT
Practice address
615 Howard Ave
New Haven, CT 06519-2112
Phone
(203) 785-9001
Fax
(203) 562-4448
NPI assigned
Jul 18, 2013
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10449 CT Primary

Addresses

Primary practice location

615 Howard Ave
New Haven, CT 06519-2112

Mailing address

615 Howard Ave
New Haven, CT 06519-2112
Phone (203) 785-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Chemists LLC Past Accepting new patients
Columbus Chemists LLC PastSince Mar 5, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1053753087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HOWARD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065192112",
            "telephone_number": "203-785-9001",
            "fax_number": "203-562-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOWARD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065192112",
            "telephone_number": "203-785-9001",
            "fax_number": "203-562-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIPPARLA",
        "first_name": "CHANDRA",
        "middle_name": "S",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "10449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.