Organization Active NPI

Venkateswara Pharmacy Inc.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1245306661
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024414 Issued in NY
Legal business name
VENKATESWARA PHARMACY INC.
Practice address
1780 Westchester Ave
Bronx, NY 10472-3020
Phone
(718) 829-2348
Fax
(718) 829-2348
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Sandadi ReddyNPI 1114103256
Title
President
Phone
(718) 829-2348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 024414 NY Primary

Addresses

Primary practice location

1780 Westchester Ave
Bronx, NY 10472-3020

Mailing address

1780 Westchester Ave
Bronx, NY 10472-3020
Phone (718) 829-2348

Other identifiers 2

IdentifierTypeStateIssuer
01912858MedicaidNY
3307344OtherNYNCPDP

Other names 1

  • WESTCHESTER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930067770 NY DME Supplier - Pharmacy 2264643790 Practice locations: Bronx, NY
O20231106003618 NY Part B Supplier - Pharmacy 2264643790 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Venkateswara Pharmacy Inc1780 Westchester Ave, Bronx, NY 10472-3020(718) 829-2348 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 2, 2005

National Provider Directory

National Provider Directory

Locations

1780 Westchester Ave
Bronx, NY 10472
Phone (718) 829-2348

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1245306661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723020",
            "telephone_number": "718-829-2348",
            "fax_number": "718-829-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723020",
            "telephone_number": "718-829-2348",
            "fax_number": "718-829-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENKATESWARA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SANDADI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-829-2348"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01912858",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3307344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTCHESTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.