Individual provider Active NPI

Sandhya Yarlagadda

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1356753099
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03353200 Issued in NJ
Practice address
208 Willis Ave
Bronx, NY 10454-4844
Phone
(718) 585-5300
Fax
(718) 585-1213
NPI assigned
May 29, 2014
Last updated
May 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03353200 NJ Primary
Pharmacist 183500000X RP446033 PA
Pharmacist 183500000X 059011-1 NY

Addresses

Primary practice location

208 Willis Ave
Bronx, NY 10454-4844

Mailing address

208 Willis Ave
Bronx, NY 10454-4844
Phone (718) 585-5300

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
28RI03353200NJMDPharmacist
059011-1NYMDPharmacist
RP446033PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Society LLC Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1356753099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544844",
            "telephone_number": "718-585-5300",
            "fax_number": "718-585-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544844",
            "telephone_number": "718-585-5300",
            "fax_number": "718-585-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARLAGADDA",
        "first_name": "SANDHYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03353200",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446033",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059011-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.