Active NPI
Kiran Venigalla
- Pharmacist
- Asbury Park, NJ
National Provider Identifier
1265740641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03034400
- Practice address
- 901 Main St
Asbury Park, NJ 07712-5911 - Phone
- (732) 774-5100
- NPI assigned
- Sep 19, 2010
- Sex
- Male
- 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 | 28RI03034400 | NJ | Primary |
Addresses
Primary practice location
901 Main St
Asbury Park, NJ 07712-5911
Mailing address
901 Main St
Asbury Park, NJ 07712-5911
Phone (732) 774-5100
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 |
|---|---|---|---|
| 28RI03034400 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Brunswick Pharmacy Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Dayton, NJ
- NPI 1992442768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284854400000",
"number": "1265740641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MAIN ST",
"city": "ASBURY PARK",
"state": "NJ",
"postal_code": "077125911",
"telephone_number": "732-774-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MAIN ST",
"city": "ASBURY PARK",
"state": "NJ",
"postal_code": "077125911",
"telephone_number": "732-774-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENIGALLA",
"first_name": "KIRAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-19",
"last_updated": "2010-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03034400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asbury Park, NJ
- Touchstone Therapy Concepts of Monmouth County LLC
- Eileen Toughill
- Trinity Episcopal Church
- Trinity Rehab Brick, P.a.
- Michael A Urmey, LSW
- Sofya Vergalasova
- Visiting Nurse Association of Central Jersey Community Health Center I
- Visiting Nurse Association of Central Jersey Community Health Center I
- John Peter Viterito, M.S., P.D.
- Suzanne Von Bargen, B.S., M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.