Individual provider Active NPI

Venkata Kashyap Yellepeddi, RPH

  • Pharmacist
  • Salt Lake City, UT
National Provider Identifier
1326638263
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9534395-1701 Issued in UT
Practice address
295 S Chipeta Way # 1S132
Salt Lake City, UT 84108-1287
Phone
(801) 548-4343
NPI assigned
Jan 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9534395-1701 UT Primary

Addresses

Primary practice location

295 S Chipeta Way # 1S132
Salt Lake City, UT 84108-1287

Mailing address

1279 E Quail Grove Cir
Salt Lake City, UT 84121-6562
Phone (801) 548-4343

Other identifiers 1

IdentifierTypeStateIssuer
9534395-1701OtherUTPHARMACIST LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL venkata.yellepeddi@hsc.utah.edu

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

LicenseStateTypeSpecialty
9534395-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1326638263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 E QUAIL GROVE CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216562",
            "telephone_number": "801-548-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S CHIPETA WAY # 1S132",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081287",
            "telephone_number": "801-548-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLEPEDDI",
        "first_name": "VENKATA",
        "middle_name": "KASHYAP",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "9534395-1701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "9534395-1701",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "venkata.yellepeddi@hsc.utah.edu",
            "affiliation": "N",
            "address_1": "295 S Chipeta Way # 1S132",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841081287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.