Active NPI
Radiant Pharmacy Solutions LLC
- Community/Retail Pharmacy
- Chesapeake, VA
National Provider Identifier
1245965003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dileep Kumar Potnuri
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221122000082 | VA | Part B Supplier - Pharmacy | 1759759863 | Practice locations: Chesapeake, VA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Norfolk, VA
- NPI 1326291006
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.