Individual provider Active NPI

Venkata Srinivas Mannava, R.PH.

  • Pharmacist
  • Washington, DC
National Provider Identifier
1356478895
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH100000749 Issued in DC
Practice address
651 Florida Ave NW
Washington, DC 20001-1875
Phone
(202) 387-1600
Fax
(202) 387-1800
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH100000749 DC Primary

Addresses

Primary practice location

651 Florida Ave NW
Washington, DC 20001-1875

Mailing address

651 Florida Ave NW
Washington, DC 20001-1875
Phone (202) 387-1600

Other identifiers 1

IdentifierTypeStateIssuer
PH100000749OtherDCLICENSE 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

LicenseStateTypeSpecialty
PH100000749DCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacare at DC, LLC Past Accepting new patients

Organizations & group practices 1

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1356478895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 FLORIDA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011875",
            "telephone_number": "202-387-1600",
            "fax_number": "202-387-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 FLORIDA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011875",
            "telephone_number": "202-387-1600",
            "fax_number": "202-387-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNAVA",
        "first_name": "VENKATA",
        "middle_name": "SRINIVAS",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100000749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PH100000749",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.