Active NPI
Shasank Chennupati
- Pharmacist
- Cary, NC
National Provider Identifier
1376254185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31819
- Practice address
- 2703 Jones Franklin Rd Ste 104
Cary, NC 27518-7172 - Phone
- (919) 758-8505
- NPI assigned
- Dec 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31819 | NC | Primary |
Addresses
Primary practice location
2703 Jones Franklin Rd Ste 104
Cary, NC 27518-7172
Mailing address
1050 Myers Point Dr
Morrisville, NC 27560-5857
Phone (786) 296-5920
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31819 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shivashivaani Pharmacy 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.
-
- Community/Retail Pharmacy
- Cary, NC
- NPI 1932572294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1376254185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 MYERS POINT DR",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605857",
"telephone_number": "786-296-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 JONES FRANKLIN RD STE 104",
"city": "CARY",
"state": "NC",
"postal_code": "275187172",
"telephone_number": "919-758-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENNUPATI",
"first_name": "SHASANK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "31819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.