Individual provider Active NPI

Devassykutty K Vareed

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1356087340
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP039739T Issued in PA
Practice address
9313 Krewstown Rd
Philadelphia, PA 19115-3710
Phone
(215) 673-7373
Fax
(215) 673-7370
NPI assigned
May 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP039739T PA Primary

Addresses

Primary practice location

9313 Krewstown Rd
Philadelphia, PA 19115-3710

Mailing address

11 Sunflower Way
Huntingdon Valley, PA 19006-5450
Phone (267) 760-4417

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
RP039739TPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Krewstown Pharmacy CurrentSince May 16, 2022 Accepting new patients
Holy Angel Home Care LLC CurrentSince May 16, 2022 Accepting new patients

Locations

9313 Krewstown Rd
Philadelphia, PA 19115
Phone (215) 673-7373

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1356087340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SUNFLOWER WAY",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065450",
            "telephone_number": "267-760-4417",
            "fax_number": "215-673-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 KREWSTOWN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153710",
            "telephone_number": "215-673-7373",
            "fax_number": "215-673-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAREED",
        "first_name": "DEVASSYKUTTY",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP039739T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.