Samundra Bhattarai

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHCY-01155 Issued in NH

Practice address

394.3 US-160
Kayenta, AZ 86033

Phone

(928) 697-4000

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1104498732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2384",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860332384",
            "telephone_number": "280-602-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394.3 US-160",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "86033",
            "telephone_number": "928-697-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTARAI",
        "first_name": "SAMUNDRA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0134475",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-01155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://securedata.ihs.gov/bds/Login.do",
            "affiliation": "N",
            "address_1": "394.3 US-160",
            "city": "KAYENTA",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "86033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://securedata.ihs.gov/bds/Login.do",
            "affiliation": "N",
            "address_1": "394.3 US-160",
            "city": "KAYENTA",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "86033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kyra Rene Begay, CNA
• Lisajann Begay, PMSW
• Mildred D Behel, RN
• Jennifer Rae Belinte
• Urina Bitsinnie
• Kimora A Bizahaloni
• Zona Black Calf
• Amanda Leeh Blackhorse, LMSW
• Anna Boone, LCSW

• Pharmacist in Kayenta, AZ
• Providers in Kayenta, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.