Active NPI
Venkata Satya Bhupathiraju
- Pharmacist
- Bullhead City, AZ
National Provider Identifier
1073845137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S017045
- Practice address
- 2360 Highway 95
Bullhead City, AZ 86442-7303 - Phone
- (928) 763-5858
- NPI assigned
- Feb 1, 2010
- Last updated
- Feb 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S017045 | AZ | Primary |
Addresses
Primary practice location
2360 Highway 95
Bullhead City, AZ 86442-7303
Mailing address
1618 Goldrush Rd Apt 241
Bullhead City, AZ 86442-8390
Phone (928) 234-2686
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S017045 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1073845137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 GOLDRUSH RD APT 241",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428390",
"telephone_number": "928-234-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 HIGHWAY 95",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864427303",
"telephone_number": "928-763-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHUPATHIRAJU",
"first_name": "VENKATA",
"middle_name": "SATYA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
- Patrick Allan Beck, D.C.
- Christian Beesley
- Christopher J Berg, PA-C
- Linda Michelle Beuthe, OTR
- BHSM Rehabilitation, LLC (Banner Physical Therapy)
- Billet Home Health Inc - Bullhead City
- Billet Hospice Inc - Bullhead City
- Bio-Medical Applications of Arizona, LLC (Bma Bullhead City Dialysis)
- Rachel Lynn Blasingame, APRN, FNP-C
- Teresa Borchers, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.