Active NPI
Sambasiva R Venigalla, RPH
- Pharmacist
- Lindenhurst, NY
National Provider Identifier
1295067858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 032800
- Practice address
- 178 Montauk Hwy
Lindenhurst, NY 11757-5951 - Phone
- (631) 957-9723
- Fax
- (631) 957-9710
- NPI assigned
- Feb 8, 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 | 032800 | NY | Primary |
Addresses
Primary practice location
178 Montauk Hwy
Lindenhurst, NY 11757-5951
Mailing address
178 Montauk Hwy
Lindenhurst, NY 11757-5951
Phone (631) 957-9723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032800-1 | Other | NY | NEW YORK STATE PHARMACIST LICENSE NUMBER |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032800 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1295067858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 MONTAUK HWY",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117575951",
"telephone_number": "631-957-9723",
"fax_number": "631-957-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 MONTAUK HWY",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117575951",
"telephone_number": "631-957-9723",
"fax_number": "631-957-9710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENIGALLA",
"first_name": "SAMBASIVA",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-08",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "032800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE PHARMACIST LICENSE NUMBER",
"identifier": "032800-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.