Active NPI
Anantha P Kallury, RPH
- General Acute Care Hospital
- Bronx, NY
National Provider Identifier
1184947699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 032117
- Practice address
- 1650 Grand Concourse
Bronx Lebanon Hospital Center ,Pharmacy Department
Bronx, NY 10457 - Phone
- (718) 518-5020
- Fax
- (718) 518-5298
- NPI assigned
- Mar 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 032117 | NY | Primary |
Addresses
Primary practice location
1650 Grand Concourse
Bronx Lebanon Hospital Center ,Pharmacy Department
Bronx, NY 10457
Mailing address
1650 Grand Concourse
Bronx Lebanon Hospital Center ,Dep. of Pharmacy
Bronx, NY 10457
Phone (718) 518-5020
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 |
|---|---|---|---|
| 032117 | NY | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1184947699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"address_2": "BRONX LEBANON HOSPITAL CENTER ,DEP. OF PHARMACY",
"city": "BRONX",
"state": "NY",
"postal_code": "10457",
"telephone_number": "718-518-5020",
"fax_number": "718-518-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"address_2": "BRONX LEBANON HOSPITAL CENTER ,PHARMACY DEPARTMENT",
"city": "BRONX",
"state": "NY",
"postal_code": "10457",
"telephone_number": "718-518-5020",
"fax_number": "718-518-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLURY",
"first_name": "ANANTHA",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-11",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "032117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.