Organization Active NPI

Radiant Pharmacy Solutions LLC

  • Community/Retail Pharmacy
  • Chesapeake, VA
National Provider Identifier
1245965003
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RADIANT PHARMACY SOLUTIONS LLC
Practice address
1200 Battlefield Blvd N Ste 103
Chesapeake, VA 23320-4790
Phone
(757) 734-7110
NPI assigned
Jul 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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

Authorized official

Name
Dileep Kumar PotnuriNPI 1326291006
Title
Owner
Phone
(757) 734-7110

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 Primary

Addresses

Primary practice location

1200 Battlefield Blvd N Ste 103
Chesapeake, VA 23320-4790

Mailing address

2201 Rayburn LN
Virginia Beach, VA 23453-2879
Phone (757) 734-7110

Other names 1

  • BATTLEFIELD PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221122000082 VA Part B Supplier - Pharmacy 1759759863 Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

1200 Battlefield Blvd N
Ste 103
Chesapeake, VA 23320
Phone (757) 734-7110

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": "1658016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658016000000",
    "number": "1245965003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RAYBURN LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234532879",
            "telephone_number": "757-734-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BATTLEFIELD BLVD N STE 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204790",
            "telephone_number": "757-734-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT PHARMACY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-17",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A",
        "authorized_official_last_name": "POTNURI",
        "authorized_official_first_name": "DILEEP",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-734-7110"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BATTLEFIELD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.