Individual provider Active NPI

Mohan Srikanth Chitta, PH.D

  • Pharmacist
  • Williamsburg, VA
National Provider Identifier
1114179579
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202207683 Issued in VA
Practice address
5601 Richmond Rd Ste B
Rite Aid Pharmacy
Williamsburg, VA 23188-1995
Phone
(757) 565-6407
Fax
(757) 565-6443
NPI assigned
Oct 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202207683 VA Primary

Addresses

Primary practice location

5601 Richmond Rd Ste B
Rite Aid Pharmacy
Williamsburg, VA 23188-1995

Mailing address

540 Coral CT
Apt 3D
Newport News, VA 23606-4341
Phone (601) 278-5549

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0202207683VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Virginia Inc Past Accepting new patients
Rite Aid of Virginia Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1114179579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CORAL CT",
            "address_2": "APT 3D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064341",
            "telephone_number": "601-278-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 RICHMOND RD STE B",
            "address_2": "RITE AID PHARMACY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881995",
            "telephone_number": "757-565-6407",
            "fax_number": "757-565-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTA",
        "first_name": "MOHAN",
        "middle_name": "SRIKANTH",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.