Goverdhan Sandadi Reddy, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

031336 Issued in NY

Practice address

3621 Broadway
New York, NY 10031-2518

Phone

(212) 926-9800

Fax

(212) 926-2228

NPI assigned

Aug 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• 3340 Broadway Pharmacy 2 Inc

  dba 3340 Broadway Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1427130210
  NPD (past)
• Julie Pharmacy Corporation

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1124417126
  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1366690661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312518",
            "telephone_number": "212-926-9800",
            "fax_number": "212-926-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312518",
            "telephone_number": "212-926-9800",
            "fax_number": "212-926-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GOVERDHAN",
        "middle_name": "SANDADI",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01293094",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aakash Reddy
• Aarthi Reddy
• Anugu L Reddy, RPH
• Arthi Chenna Reddy, MD
• Bethany Reddy
• Gundu Anupama Reddy, MD
• Haritha Reddy, MD
• Harsha Reddy, M.D.
• Hasini Reddy, MD, DPHIL
• Jhansi Reddy, MD

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.