Individual provider Active NPI

Sudha Rani Veerapaneni

  • Pharmacist
  • Dekalb, IL
National Provider Identifier
1326648551
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051292610 Issued in IL
Practice address
2300 Sycamore Rd
Dekalb, IL 60115-2067
Phone
(815) 758-6284
Fax
(815) 758-6204
NPI assigned
Oct 27, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051292610 IL Primary

Addresses

Primary practice location

2300 Sycamore Rd
Dekalb, IL 60115-2067

Mailing address

271 Valley View Dr
St Charles, IL 60175-4646
Phone (847) 809-5442

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

LicenseStateTypeSpecialty
051292610ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1326648551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 VALLEY VIEW DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754646",
            "telephone_number": "847-809-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152067",
            "telephone_number": "815-758-6284",
            "fax_number": "815-758-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERAPANENI",
        "first_name": "SUDHA",
        "middle_name": "RANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.