Individual provider Active NPI

Vidya Rangaraj Hebbar, PH.D., R.PH.

  • Pharmacist
  • Webster, NY
National Provider Identifier
1407166861
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24599 Issued in MD
Practice address
985 Ridge Rd
Webster, NY 14580-2905
Phone
(585) 872-1380
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24599 MD Primary
Pharmacist 183500000X 054626-1 NY

Addresses

Primary practice location

985 Ridge Rd
Webster, NY 14580-2905

Mailing address

6436 Swimmer Row Way
Columbia, MD 21044-4962
Phone (585) 217-9442

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
Doctor of Philosophy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
054626-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1407166861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6436 SWIMMER ROW WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444962",
            "telephone_number": "585-217-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802905",
            "telephone_number": "585-872-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBBAR",
        "first_name": "VIDYA",
        "middle_name": "RANGARAJ",
        "name_prefix": "Dr.",
        "credential": "PH.D., R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "24599",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054626-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.