Individual provider Active NPI

Amar Kumar Chandaluri, RPH

  • Pharmacist
  • Sun Valley, NV
National Provider Identifier
1144689985
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17948 Issued in NV
Practice address
5055 Sun Valley Blvd
Suite 210
Sun Valley, NV 89433-8293
Phone
(775) 374-4044
NPI assigned
Feb 22, 2016
Last updated
Feb 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17948 NV Primary
Pharmacist 183500000X 21492 NC
Pharmacist 183500000X PH233737 MA

Addresses

Primary practice location

5055 Sun Valley Blvd
Suite 210
Sun Valley, NV 89433-8293

Mailing address

4849 Santenay LN
Sparks, NV 89436-8176
Phone (410) 926-0698

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

State licenses

LicenseStateTypeSpecialty
PH233737MAMDPharmacist
21492NCMDPharmacist
17948NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Pharmacy LLC CurrentSince Oct 27, 2024 Accepting new patients
Valley Pharmacy LLC Current Accepting new patients

Locations

5055 Sun Valley Blvd
Ste 210
Sun Valley, NV 89433
Phone (775) 200-0945

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1144689985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 SANTENAY LN",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368176",
            "telephone_number": "410-926-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 SUN VALLEY BLVD",
            "address_2": "SUITE 210",
            "city": "SUN VALLEY",
            "state": "NV",
            "postal_code": "894338293",
            "telephone_number": "775-374-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDALURI",
        "first_name": "AMAR",
        "middle_name": "KUMAR",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "17948",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21492",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH233737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.