Active NPI
Chandra Sekhar Rao Kadiyala, B.PHARM, M.TECH, PHD
- Pharmacist
- Stockton, CA
National Provider Identifier
1184876633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68509
- Practice address
- 123 S Commerce St Ste a
Stockton, CA 95202-2837 - Phone
- (209) 929-1093
- Fax
- (209) 929-1096
- NPI assigned
- Oct 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00069476 | WA | |
| Pharmacist | 183500000X | 68509 | CA | Primary |
Addresses
Primary practice location
123 S Commerce St Ste a
Stockton, CA 95202-2837
Mailing address
123 S Commerce St Ste a
Stockton, CA 95202-2837
Phone (209) 929-1093
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
| License | State | Type | Specialty |
|---|---|---|---|
| 68509 | CA | MD | Pharmacist |
| PH00069476 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless 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.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Pasco, WA
- NPI 1588773899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1184876633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S COMMERCE ST STE A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022837",
"telephone_number": "209-929-1093",
"fax_number": "209-929-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S COMMERCE ST STE A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022837",
"telephone_number": "209-929-1093",
"fax_number": "209-929-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADIYALA",
"first_name": "CHANDRA SEKHAR RAO",
"name_prefix": "Dr.",
"credential": "B.PHARM, M.TECH, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-15",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00069476",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "68509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.