Ravi Prakash Reddy Nanga

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP454300 Issued in PA

Practice address

131 Church Rd Apt 9G
North Wales, PA 19454-4124

Phone

(734) 272-1971

NPI assigned

Aug 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brother Pharmacy & Surgicals Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1427414580
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1215547401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CHURCH RD APT 9G",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CHURCH RD APT 9G",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544124",
            "telephone_number": "734-272-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANGA",
        "first_name": "RAVI PRAKASH REDDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP454300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mogeh Mozaffarian, DMD
• Kathleen V. Mullen, D.M.D.
• Daniel Murphy, PT
• Eric James Myers, DPT
• Sharon Nam, DMD
• National Vision, Inc.
• Neurologic Group of Bucks/Mont. Cty
• New Path Vision of North Wales LLC
• Nextgen Dental Center PC
• Angela M. Nicholas, MD

• Pharmacist in North Wales, PA
• Providers in North Wales, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.