Pandurangarao Jonnalagadda, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

033004 Issued in NY

Practice address

4085 Broadway
New York, NY 10032-1535

Phone

(212) 923-7530

Fax

(212) 923-7550

NPI assigned

Mar 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

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.

• VLV Med Pharmacy Inc

  • Pharmacy
  • New York, NY
  • NPI 1932134509
  NPD (past)

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1265755003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321535",
            "telephone_number": "212-923-7530",
            "fax_number": "212-923-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321535",
            "telephone_number": "212-923-7530",
            "fax_number": "212-923-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONNALAGADDA",
        "first_name": "PANDURANGARAO",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "033004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENCE",
            "identifier": "033004",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassandra Apolonia Jonez
• Joanna Gillies Jong, LCSW
• Vida Jong, MSPT
• Amy Catherine Jongeling, M.D., PH.D.
• Ubonvan Jongwutiwes, M.D.
• Vivian Helena Jonokuchi, MA
• Christine Joo
• Jung Eun Joo, MSTOM, DAOM, LAC.
• Leslie Jeongmi Joo
• Mona Joodi, DMD

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.