Active NPI
Amar Kumar Chandaluri, RPH
- Pharmacist
- Sun Valley, NV
National Provider Identifier
1144689985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17948
- 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, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PH233737 | MA | MD | Pharmacist |
| 21492 | NC | MD | Pharmacist |
| 17948 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Pharmacy LLC | Current | 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.