Active NPI
Julee Nanduri, PHARMD
- Pharmacist
- Auburn, NY
National Provider Identifier
1164011896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067553
- Practice address
- 150 Grant Ave
Auburn, NY 13021-1502 - Phone
- (315) 704-0293
- NPI assigned
- Jan 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 067553 | NY | Primary |
Addresses
Primary practice location
150 Grant Ave
Auburn, NY 13021-1502
Mailing address
150 Grant Ave
Auburn, NY 13021-1502
Phone (315) 704-0293
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067553 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
150 Grant Ave
Auburn, NY 13021
Phone (315) 704-0293
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": "1610841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610841600000",
"number": "1164011896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 GRANT AVE",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211502",
"telephone_number": "315-704-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 GRANT AVE",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211502",
"telephone_number": "315-704-0293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANDURI",
"first_name": "JULEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-17",
"last_updated": "2021-01-17",
"certification_date": "2021-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.