Active NPI
Radhika Chennamaneni
- Pharmacist
- Hartford, CT
National Provider Identifier
1225536360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0011783
- Practice address
- 495 Flatbush Ave
Hartford, CT 06106-3601 - Phone
- (860) 953-0725
- Fax
- (860) 953-0822
- NPI assigned
- Jan 23, 2018
- 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 | 0011783 | CT | Primary |
Addresses
Primary practice location
495 Flatbush Ave
Hartford, CT 06106-3601
Mailing address
45 Rugby LN
South Windsor, CT 06074-4268
Phone (413) 230-0124
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011783 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1225536360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RUGBY LN",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060744268",
"telephone_number": "413-230-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 FLATBUSH AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063601",
"telephone_number": "860-953-0725",
"fax_number": "860-953-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENNAMANENI",
"first_name": "RADHIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0011783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.