Emanuela Antoneta Devendran

Primary specialty

PharmacistTaxonomy code 183500000X

License

26030730A Issued in IN

Practice address

4445 Calumet Ave
Hammond, IN 46327-1411

Phone

(219) 932-2007

NPI assigned

Jul 7, 2011

Sex

Female

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

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.

• Walgreen Co

  • Pharmacy
  • Hammond, IN
  • NPI 1295740314
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1124315403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 CALUMET AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463271411",
            "telephone_number": "219-932-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 CALUMET AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463271411",
            "telephone_number": "219-932-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENDRAN",
        "first_name": "EMANUELA",
        "middle_name": "ANTONETA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040380",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26030730A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F K Deal, RPH
• Kenneth Deangelis Jr.
• Carlos Adolfo Dejesus, DPT
• Dental Center of Hammond
• John A Desalvo, DO
• Malou Diaz, PT
• Ariel Dodrill
• Ariel Dortch
• Himanshu Y Doshi, MD
• Magdy Dous

• All providers in Hammond, IN
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.